Abstract

Abstract
Introduction
Congenital ptosis is an abnormally low position of the upper eyelid present from birth. It poses a dual challenge: functional (risk of amblyopia) and aesthetic. In Côte d’Ivoire, no previous study has been conducted on congenital ptosis, justifying the present analysis.
Objective
To contribute to the improvement of the surgical management of congenital ptosis at Treichville University Hospital. Methodology: This was a retrospective, cross-sectional, descriptive study, which included patient records of those operated on in 2019 and 2024. Data were analysed using Epi Info 7.2.2.6 and Stata
12.0 software.
Results
20 patient records were collected. The mean age was 4.2 years. Males predominated (70%). Unilateral cases accounted for 90% of the total. Levator muscle function was poor or absent in 70% of cases. The visual axis was obstructed in 75% of patients, and ptosis was severe in 75% of cases. Frontalis muscle suspension was performed in 95% of cases, mainly using ‘ptose-up’ material (PTFE). 75% of the results were good or excellent. The most common complications were lagophthalmos, undercorrection and suture release.
Discussion
The forehead suspension technique, suitable for severe ptosis with poor muscle function, demonstrated good efficacy with generally satisfactory aesthetic results.
Conclusion
Surgical treatment of congenital ptosis, predominantly involving forehead suspension, is effective in our setting.