Congenital Eyelid Ptosis (drooping of upper eyelid). Patient photographs before and after surgery.

Individualized Education

Congenital Eyelid Ptosis in a 26 year old black male.
(Drooping of upper eyelid)

This 26 year old male was born with inability to open both eyes very well. The difficulty was bad enough to warrant surgery at the age of 9 on only the right lid. He came to Dr. Bermant complaining of:

• "lazy" drooping eyelids obstructing his vision
• difficulty at work keeping both his eyes open
• constantly looking tired all the time
• having to tilt his head back to see
• problem worsening over the years

Photograph Before Surgery	Photograph 6 Weeks After Surgery

Looking up obstructs the pupils - this patient could not see looking up before surgery.

Picture Before Surgery Looking Up	Picture 6 Weeks After Surgery Looking Up

You can see his scar from his earlier surgery on the before surgery photos. The crease on the right eyelid was placed too high by the other surgeon.

Image Before Surgery Looking Down	Image 6 Weeks After Surgery Looking Down

This patient's reconstruction included:

• Shortening of the levator muscle of 18mm on the left.
• Shortening of the levator muscle 24mm on the right.
• Adjustment of right eyelid crease to a more natural position.

  The surgery was done under local anesthesia with sedation as an outpatient. Sedation and local anesthesia permit cooperation during the operation to adjust the eyelid muscles with a greater degree of accuracy.

  This patient's measurements	Right	Left
  Preoperative Ptosis	4mm	3mm
  Levator Function Preop	5mm	7mm
  After Surgery no Ptosis	0mm	0mm
  Levator Function Postop	10mm	12mm

Other topics of interest:

Ptosis of the eyelid (dropping of the upper eyelid).
Ptosis classification
Muscle function and dysfunction in drooping eyelid problems.
Measuring eyelid function in eyelid ptosis.
Congenital eyelid ptosis reconstructive surgery options.
Recurrent congenital eyelid ptosis in a 26 year old black male.
Ptosis associated with paralyzed eyebrow muscle.
Ptosis associated with Blepharophimosis (congenital eyelid deformity).
Blepharoplasty (Cosmetic surgery of the eyes)
Ectropion (Drooping of the lower eyelid) Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts. Reconstruction of the lower eyelid

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Ptosis (drooping of upper eyelid)

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Ptosis of the eyelid (drooping of the upper eyelid)

• Simple congenital
• Acquired Myogenic (muscle related)
• Ptosis associated with Blepharophimosis (congenital eyelid deformity)
• Ptosis associated with paralyzed eyebrow muscle

Blepharoplasty (Cosmetic surgery of the eyes)

Ectropion (Drooping of the lower eyelid)

Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Reconstruction of the lower eyelid

• More eyelid Reconstruction
• Mustarde Reconstruction for 70% eyelid defect
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This page last updated on: January 1, 2010