Ptosis is a condition where the upper eyelid droops below its typical position, resulting in a reduced vertical gap of the palpebral fissure.
Addressing congenital ptosis promptly and effectively is crucial for the normal development of the visual system and for preventing amblyopia.
Correcting severe congenital ptosis presents a significant challenge. Determining the best approach for attaining both symmetry and aesthetic improvementremains a subject of debate.Frontalis suspension surgery has been regarded as the preferred treatment for managing congenital ptosis when there is poor levator function but it has many complications. Maximum levator resection (MLR) was advocatedas an option for addressing severe congenital ptosis.
A noticeable enhancement in levator function (LF) was documented in our study after MLR with freeing of the levator muscle from fibrous attachments. This improvement not only enhances the functional aspect but also contributes to more favorable cosmetic results post-surgery.

AIM:

Was to evaluate the effect of freeing levator fibrous attachment on eyelid excursion in patients undergoing levator resection for congenital ptosis with poor levator function.