Appropriate treatment for the mild congenital ptosis;
Treatment of Congenital ptosis In severe ptosis, surgery should be performed at the earliest to prevent stimulus deprivation amblyopia. In mild and moderate ptosis, surgery should be delayed until the age of 34 years, when accurate measurements are possible. - Congenital ptosis can be treated by any of the following operations: Tarso-conjunctivo - Mullerectomy (Fasanella-Servat operation). It is performed in cases having mild ptosis (1.5-2 mm) and good levator function. In it, upper lid is eveed and the upper tarsal border along with its attached Muller's muscle and conjunctiva are resected. Levator resection. It is a very commonly performed operation for moderate and severe grades of ptosis It is contraindicated in patients having severe ptosis with poor levator function. Techniques: Levator muscle may be resected by either conjunctival or skin approach. Conjunctival approach (Blaskovics' operation) Skin approach (Eversbusch's operation) 3. Frontalis sling operation (Brow suspension). This is performed in patients having severe ptosis with no levator function.
LPS Resection
Antibiotics and hot compression
Tarsal fracture
Wedge resection of conjunctiva
FMGE 2019