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Semin Plast Surg 2017; 31(01): 058-064
DOI: 10.1055/s-0037-1598631
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Blepharoptosis

Kevin T. Jubbal
1   Department of Ophthalmology, Division of Oculoplastic and Reconstructive Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
,
Katarzyna Kania
1   Department of Ophthalmology, Division of Oculoplastic and Reconstructive Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
,
Tara L. Braun
1   Department of Ophthalmology, Division of Oculoplastic and Reconstructive Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
,
William R. Katowitz
2   Department of Ophthalmology, Division of Oculoplastic and Reconstructive Surgery, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
,
Douglas P. Marx
1   Department of Ophthalmology, Division of Oculoplastic and Reconstructive Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
28 February 2017 (online)

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Abstract

Congenital blepharoptosis, caused by levator muscle dysgenesis, presents at birth and may lead to disturbed visual development and function. Other causes of ptosis in pediatric patients can be myogenic, neurogenic, mechanical, or traumatic. Timely correction is, therefore, critical, and careful preoperative planning and intraoperative considerations are crucial to achieve optimal outcomes and minimize potential complications. The various surgical techniques, including the frontalis suspension or sling, levator resection and advancement, Müller's muscle conjunctival resection (the Putterman procedure), and modified Fasanella-Servat procedure are each associated with distinct indications, benefits, and drawbacks, necessitating a unique tailored approach to each surgical candidate.

Keywords

pediatric ptosis - blepharoptosis - droopy eyelid
 

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