Question

The most important examination in case of congenital ptosis is:

a- The state of extraocular muscles
b- Fundus examination
c- Amount of levator function
d- Pupillary light reflex​

Answer 1

The following findings point towards the diagnosis of congenital ptosis:

Mild to severe ptosis.

Reduced levator palpebrae superioris function.

Lid lag in downgaze (lid lag sign)

Absent or weak lid crease in normal position.

Increase in size of the palpebral aperture in downgaze.

Answer 2

The most important examination in case of congenital ptosis is:

• C- Amount of levator function

One of the most important elements of the examination of a patient with apparent congenital ptosis is to check the amount of levator function I.e. raise the upper eyelid and to maintain the upper eyelid position. It helps the doctor examine whether the person has congenital ptosis...~