Correction of Ptosis or Pseudoptosis in Congenital Double Elevator Palsy by Either Extraocular Muscle or Lid Surgery

A 20-year-old lady presented with drooping of left upper eyelid since childhood. After detailed examination she was diagnosed to have congenital monocular elevation deficiency and exotropia in the left eye. Sequential surgical correction procedures were performed to treat her left eye condition i.e., first surgery to correct exotropia (recession and resection of the horizontal recti), second surgery to correct hypotropia (recession and resection of vertical recti) without Knapp’s or modified Knapp’s proceadure. Left eye was looking straight in primary position; however, there was hypertropia in the right eye. Third surgery was done to correct hypertropia in the right eye (recession and resection of vertical recti) following which both eyes were straight in primary position. Even though the patient has undergone surgery three times, she was very happy with good cosmetic results.

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Correction of Ptosis or Pseudoptosis in Congenital Double Elevator Palsy by Either Extraocular Muscle or Lid Surgery

Cited by 4 publications

References 9 publications

To assess the efficacy of vertical muscle surgery for management of hypotropia in monocular elevation deficiency type II

To assess the efficacy of vertical muscle surgery for management of hypotropia in monocular elevation deficiency type II

Combined lateral rectus augmented transposition and inferior rectus recession for monocular elevation deficiency

Sequential Surgical Treatment for Congenital Monocular Elevation Deficiency and Exotropia: A Case Report

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