AIM To analyse the various ocular and systemic associations of congenital ptosis and study the effect of associated anomalies on the management of ptosis, visual acuity and complications following surgery. DESIGN Prospective and interventional study. PARTICIPANTS One hundred and forty six congenital ptosis patients were taken up for this prospective and interventional study. METHODS These patients were completely examined for ocular and systemic anomalies with proper preoperative evaluation.

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... umentations were made with pre-and post-operative photographs and the results were analysed. RESULTS Among one hundred and forty six patients, 87 (59.6%) had severe ptosis, 21 (14.4%) patients reported with moderate ptosis and 38 (26%) had mild ptosis; 77 (52.7%) patients with simple congenital ptosis formed major group, 30 (20.5%) reported with superior rectus muscle weakness, 13 (8.9%) had Marcus Gunn jaw-winking phenomenon and 11 (7.5%) had Blepharophimosis syndrome among ocular association. Frontalis sling surgery performed in 70(47.9%) patients formed the major group among congenital ptosis surgery. Out of 124 patients who underwent surgery, 6 patients had recurrent ptosis due to slipping of knot and under correction was found in 11 patients. CONCLUSION Severe congenital ptosis was found in 87 (59.6%) patients and 77 (52.7%) simple congenital ptosis formed the major group. Superior rectus weakness formed the major component of ocular association and congenital heart disease was common among systemic association. Regarding congenital ptosis surgery, frontalis sling played a major role with good results and minimal complication. HOW TO CITE THIS ARTICLE: Thenmozhi Sethuraja R, Radhakrishnan M. Incidence of ocular and systemic associations with congenital ptosis, its management and complications following ptosis surgery.