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My 14-month-old grandson's right eyelid seems to come further down over the eyeball than the left one causing his right eye to look smaller. It doesn't appear to affect his vision and doesn't cover any part of the pupil, only the iris. Is this a common occurrence that will correct itself in time or should we be concerned?
You may be describing congenital ptosis. This is a condition in which the eyelid is droopy. If your grandson's eyelid is not covering his pupil, it is unlikely he will develop visual impairment from this condition. It is however recommended that he be evaluated by an Eye M.D. to check for an undiagnosed refractive error. Congenital ptosis does not improve on its own. If the eyelid position is cosmetically distracting, a ptosis repair may be performed. This is a short, outpatient surgical procedure in which the eyelid muscle (levator muscle) is tightened. An Eye M.D./oculoplastic surgeon trained in the care of children will be able to examine your grandson and advise whether and when surgery would be indicated.
Answered by: Rona Silkiss, MD
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Answered: Dec 20, 2013
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