Management of congenital ptosis

Out of a total of 12 patients with congenital ptosis, 7 were treated by trans-conjunctival [Iliff's] isolation and resection of Levator palpebrae superioris muscle and 5 underwent a combined approach of transconjuctival isolation and trans-cutaneous resection of Lavator palpebrae superioris muscle. In the former, 5 patients had good post-operative lid level [considered to be within 2 mm of normal], 1 was over corrected, 1 undercorrected and 2 had poor lid skin crease and fold. In the latter, there were no under or over-correction, 3 had good [within 1 mm of normal] and 2 had fair [within 2 mm of normal post-operative lid levels and all 5 had good lid crease and fold formation