Pre-aponeurotic Fat Prolapse Following Levator Resection for Congenital Ptosis

The authors describe three children who developed excess overhanging upper eyelid tissue following unilateral levator resection for congenital ptosis. This was thought to be pre-aponeurotic fat herniation. A second procedure, a variation of sulcoplasty, was performed at a mean 4.3 months later and all three children showed improved sulcus and crease symmetry. [ J Pediatr Ophthalmol Strabismus . 2019;56:e1–e4.]