RESUMO
OBJECTIVE: To present results of 50 cases of congentital blepharoptosis and to revise indications for surgical treatment. METHODS: Retrospective, non-comparative interventional case series of 50 patients with congenital myogenic blepharoptosis. Results were evaluated on a subjective scale. RESULTS: Good or excellent results in a subjective scale (4/5 or 5/5) were found in 35% of patients with good levator function; 70% in patients with moderate to slight blepharoptosis and bad or no levator function; 42% in patients with moderate blephatoptosis and good levator function and 100% in patients with severe blepharoptosis and bad or no levator function. CONCLUSIONS: Congenital blepharoptosis is a relativelly frequent malformation with sthetic involvement and with a lack of proper development of visual function in most severe cases. Except in these cases, it is advisable to wait for treatment, normally between 4-6 years of age. A correct assessment of every case will help us indicate the most adequate surgical technique.