DR. NEETI AGRAWAL

Dr.AMRITA DEY, DR. BRATATEE ROY, DR. SONICA DEVI HENAM

Abstract

A 28 year old female presented with drooping of left upper eyelid since birth, associated with upward flicking while chewing and swallowing. She also complained of diminution of vision of left eye, which would overcome on keeping the mouth open. On examination, there was drooping of left upper eyelid. Palpebral fissure height was 7.5 mm in left eye and 11 mm in right eye. MRD1 in left eye was 2.5 mm, while MRD2 was 5.5 mm. Levator function was 11 mm in left eye, with good bell’s phenomenon. Moderate Marcus Gunn Jaw winking of 3-6mm was noted in left eye. No improvement with ice pack was noted.

Patient was operated with levator palpabrae superioris resection with tarso frontalis sling in left eye.

On 2 months follow up after surgery, ptosis was found to be corrected along with improvement in Marcus Gunn phenomenon.

Conclusion : Levator Palpabrae superioris resection with tarso frontalis sling can provide considerable improvment in congenital ptosis with Marcus Gunn phenomenon.