Congenital Ptosis (Drooping Eyelids in Children) Surgery Treatment

Droopy Eyes Syndrome: Know all about it

Ptosis is more commonly known as Droopy Eyes Syndrome and it can affect either one eye or both. This is a condition that may affect a person later in life or it may be a birth defect. If this condition is present when a baby is born and is acquired within the first year of life, then it is known as congenital ptosis.

Congenital Ptosis

Droopy Right Eyelid in Child

Causes of Congenital Ptosis in children

In most of the cases where children have droopy eyes, the causes are unknown or idiopathic. The contraction of the levator palpebrae superioris happens when the eyelids are elevated. In most cases, localized myogenic dysgenesis is the cause of congenital ptosis. Adipose and fibrous tissues are present in the muscle belly, which prevents the levetor from contracting and relaxing. When this happens, the condition is called congenital myogenic ptosis. Congenital ptosis happens through autosomal dominant inheritance. Chromosomal or genetic defects may be likely causes too.

Here are some other potential known causes of Droopy Eyes Syndrome:

  • Pseudoptosis
  • Myotonic dystrophy
  • Duane syndrome
  • Marcus Gunn jaw-winking syndrome
  • Horner syndrome
  • Blepharophimosis syndrome
  • Birth trauma
  • Periorbital tumor
  • Myasthenia gravis
  • Kearns-Sayre syndrome
  • Third cranial nerve palsy (paralysis)

Complications of Congenital Ptosis

Amblyopia may be developed due to the occurrence of astigmatism or when the vision is obstructed directly. In case amblyopia develops, immediate requirement of surgical operation may be necessary to cure the condition.

Underlying medical condition

If you find that your eyelids are drooping, it may be due to an underlying medical problem. This becomes more of a chance if you are getting the symptom in both of your eyes. In case only one eyelid is drooping, a nerve injury may have happened or a temporary sty may have taken place. A sty is harmless swelling and inflammation of the eyelid. People who have undergone routine cataract surgery or maybe LASIK may also suffer from droopy eyes when their eyelids are stretched beyond their normal point.

Video of Ptosis Surgery performed in a child by Dr. Debraj Shome, Oculoplastic Surgeon:


The first thing the doctor is going to do is give you a physical examination, after which he may well ask you about your medical history. He will also likely ask you how often you have been experiencing the drooping symptoms and how long this has been happening for. The doctor will then ask you to go for some tests to rule out any other underlying medical condition.

Your doctor may also use a high-intensity light to check your eyes and see it from up close. For this exam, you can expect that the eyes will be dilated a bit, so a little discomfort may happen.

The Tensilon test is another exam that may be performed for people suffering from Ptosis. This is a test that will help determine whether muscle inaction is a result why you are suffering from this condition. 

Treatment of Ptosis

As with most illnesses and medical conditions with Ptosis too, treatment depends on the cause of occurrence. If this is a condition that has been there since one’s birth or if it has happened because a person has aged, the doctor may well prescribe no treatment. This is because the condition is not affecting the health of a person and therefore there is no need of any treatment. 

Ptosis surgery may be suggested in case the condition has developed for some other reason. For this, an oculoplastic surgeon will have to perform the surgery. The surgeon not only has to be an expert with ophthalmic surgery, he also has to be experienced in cosmetic surgery. In India, there are ample opportunities to get oculoplastic surgery done without any trouble.

5 thoughts on “Congenital Ptosis (Drooping Eyelids in Children) Surgery Treatment

  1. Pingback: Ptosis Surgery for droopy eyelids

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  3. Pingback: Oculoplastic Surgery in India | Dr. Debraj Shome, Top Facial Plastic Surgeon India

  4. Pingback: Oculoplastic Surgery in India | Dr. Debraj Shome, Top Facial Plastic Surgeon India

  5. Pingback: Ptosis Eyelid Surgery in India | Dr. Debraj Shome, Top Facial Plastic Surgeon India

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