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Congenital Ptosis

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Albert and Jakobiec's Principles and Practice of Ophthalmology

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Abstract

Congenital ptosis is most commonly caused by maldevelopment of the levator palpebrae superioris muscle complex. It is less frequently associated with neurologic, myopathic, and other congenital syndromes. Congenital ptosis may cause amblyopia from visual deprivation or induced astigmatism, especially if it is unilateral or asymmetric. Therefore, once congenital ptosis is identified after birth, early evaluation and management is essential to maximize potential visual development. A complete history and examination are necessary to determine the correct etiology of the ptosis, and in cases of neurogenic ptosis or in the setting of other associated syndromic findings, neuroimaging and genetic testing may be needed to provide optimal medical and surgical management.

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Authors and Affiliations

  1. Departments of Ophthalmology and Otolaryngology/Head & Neck Surgery, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    John D. Ng

  2. Facial Nerve Center, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    John D. Ng

  3. Oculofacial Plastic, Orbital and Reconstructive Surgery, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    John D. Ng

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  1. Casey Eye Institute, Oregon Health & Science, Portland, OR, USA

    Daniel M. Albert

  2. Department of Ophthalmology, Massachusetts Eye and Ear, Massachusetts General Hospital, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Joan W. Miller

  3. Department of Ophthalmology, University of Illinois College of Medicine, University of Illinois at Chicago, Chicago, IL, USA

    Dimitri T. Azar

  4. Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. No affiliation provided

    Eric Steele

  2. No affiliation provided

    John Ng

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Ng, J.D. (2022). Congenital Ptosis. In: Albert, D.M., Miller, J.W., Azar, D.T., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_83

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  • DOI: https://doi.org/10.1007/978-3-030-42634-7_83

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42633-0

  • Online ISBN: 978-3-030-42634-7

  • eBook Packages: MedicineReference Module Medicine

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