[Upper eyelid surgery for treatment of congenital blepharoptosis]. / Cirugía del párpado superior para el tratamiento de las ptosis congénitas.

OBJECTIVE: [corrected] To revise techniques and indications for surgical treatment of childhood blepharoptosis. METHODS: Review of the medical literature and case reports. RESULTS: The treatment of blepharoptosis is not easy. There are different techniques for its correction, depending on invasivity and aetiological approach. Most used techniques are resection of the levator muscle through a skin incision in moderate ptosis and frontal suspension for severe cases. The indication of each technique depends on the type of ptosis, severity, features of levator muscle and age. CONCLUSIONS: Simple congenital ptosis is the most frequent type of ptosis in children although is necessary to consider types associated to rectus superior palsy, blepharofimosis syndrome and Marcus-Gunn phenomenon. It is important to evaluate ptosis severity and its repercussions on visual acuity and compensating torticolli. The timing for surgical treatment varies depending on age, severity and laterality.