Success of Early Age Frontalis Flap Advancement Surgery for Congenital Blepharoptosis With Poor Levator Function: A Case Report.

Congenital blepharoptosis is a well-known condition presenting with abnormal low-lying upper eyelid margin when eye is in primary gaze. Its often challenging to lift upper eyelid, usually due to congenital impairment in the levator function, namely levator muscle dysgenesis. Congenital blepharoptosis results in partial or complete obstruction of visual axis due to descended eyelid margin and this eventually develops various habits in patients like extending head, frowning, and shrugging when they attempt to look at an object. Congenital blepharoptosis affects normal development of the cervical spine as well with possible dysfunctions like deprivation amblyopia, myopia and astigmatism. Frontalis suspension is considered surgery of choice for blepharoptosis, particularly with poor levator function. This procedure involves creating a linkage between frontalis muscle and tarsus. Here we report an interesting case with severe bilateral congenital blepharoptosis in younger patient who underwent frontalis ap advancement s