Congenital blepharoptosis: strategy and tactics of surgical treatment

Abstract

The issue of surgical correction of congenital blepharoptosis remains a topic of discussion among specialists. The aim of the paper was to determine the optimal type of intervention, the timing and scope of the surgical treatment of different types of congenital blepharoptosis. Surgical treatment was applied on 917 children (988 eyes) aged 2 to 18 years with various types of congenital ptosis of the upper eyelid, operated in the Department of Pediatric Ophthalmopathology of the Institute of Eye Diseases and Tissue Therapy named after N.N. V.P. Filatov. The results of the surgical correction of various types of congenital blepharoptosis allow us to conclude that it is appropriate to use the method of resection of the upper eyelid lift even in cases with a weakened or absent initial function of the lifting muscle with the possibility of not only a cosmetic result, but also a functional result of the intervention.