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Droopy eyelids / Ptosis in children

Drooping of the upper eye lid/s is called Ptosis.

Ptosis is caused by poor function of eyelid elevation muscle (levator palpebrum superioris).

If not treated the child with ptosis develops

  • Poor vision (lazy eye) in the eye
  • Spectacle power (astigmatism)
  • Visual field defect
  • Negative psychosocial and emotional effects
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Treatment

A surgery is usually needed to correct the ptosis. The best age for operation is 3 years if the ptosis is mild / moderates (the lid not covering the pupil)

If the ptosis is severe, surgery should be done at the earliest to avoid irreversible loss of vision.

Types of surgeries

  • Frontalis sling surgery: This is the most commonly performed surgery for ptosis in children. It is a rapidly performed surgery and provides excellent results. A silicone sling is used to suspend the lid. more..
    Watch video https://www.youtube.com/watch?v=A1LCiBtQ0Kk
  • Fasanella servat procedure: A minor surgical tightening is done to correct mild ptosis. This is not a very commonly performed procedure for children.
  • LPS resection: For moderate / severe ptosis with very good eye lid muscle function, the levator muscle is tightened.

Unique facilities at Jyotirmay Eye Clinic

  • Sevoflurane (world’s safest gas) anesthesia is available for the child’s safety.
  • Philips (USA) VM8 Sure sign monitor is available for intraoperative monitoring for unparalleled child safety
  • Tremendous experience of the surgeon. We have successfully performed 17 (seventeen) such surgeries in one day on one occasion!
  • Imported silicon (BD surgicals, UK) is available for superior results.
  • Hybrid technique of ptosis surgery
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