Double flap technique for unilateral congenital ptosis.

Unilateral amblyogenic ptosis presents a great challenge for the oculoplastic surgeon with no consensus on the ideal technique. There are increasing reports on the use of frontalis flap as autogenous procedure for correction of congenital ptosis. However this procedure remains non physiologic as the neurological wiring to clear the visual axis is third nerve mediated while frontalis muscle based procedures depend on facial nerve. The purpose of this study is to compare the functional and cosmetic outcomes of frontalis flap alone versus combined frontalis flap and levator resection for amblyogenic unilateral congenital ptosis.