Blepharophimosis and Marcus Gunn as Special Types of Pediatric Ptosis

Blepharophimosis syndromeBlepharophimosis syndrome and Marcus Gunn ptosisMarcus Gunn ptosis, significant associations of congenital ptosisCongenital ptosis, require specialised techniques of management. Blepharophimosis syndromeBlepharophimosis syndrome often requires a two step approach, first stage comprising correction of congenital anomalies of epicanthus, telecanthus and shorter size of palpebral fissure. The second step corrects ptosisPtosis, usually by Frontalis slingFrontalis sling procedures. Jaw winking or Marcus Gunn ptosisMarcus Gunn ptosis is a complex problem, the management of which requires disabling of the levator muscle to eliminate jaw winking and to correct ptosisPtosis by a frontal sling procedure, preferably without creating asymmetry.