Clinical Controversy: Congenital Unilateral and Jaw-Winking Ptosis

Abstract

Paediatric ptosis is routinely more challenging than adult ptosis with considerations such as amblyopia, difficulty of examination and at what age surgery should be performed. Unilateral severe congenital ptosis and jaw-winking ptosis raise additional questions of which surgical procedure and whether unilateral or bilateral surgery should be performed. A panel of international experts answer questions relating to two clinical scenarios.

KEYWORDS:

• Congenital ptosis
• levator palpebrae superioris
• brow suspension
• levator resection
• amblyopia
• pediatric ophthalmology
• jaw-winking ptosis
• Lemagne procedure