Eyelids and the periocular region
Congenital drooping of the upper lid (ptosis) is usually caused by incomplete development of the levator muscle (the muscle that elevates the upper lid). This condition can impede the development of normal vision on the side of the affected lid. The decision regarding the timing and method of ptosis correction depends on the degree of ptosis in relation to the visual axis (pupil), the strength of the levator muscle and the age of the child.
Lacrimal (tear) drainage pathways
Congenital obstruction of the lacrimal system is present in 1- 6% of newborn children. Spontaneous resolution happens in 90-95% of cases during the first year of life. In the remaining 5-10% of children, 60% resolve spontaneously during the second year of life.
The eye socket - orbit
Congenital under-development of the orbit is most frequently associated with under-development, or complete absence of the eye (congenital microphthalmos). In such cases it is important to start with combined prosthetic and surgical treatment as soon as possible, in order to stimulate the growth of bony and soft tissue structures of the orbit.
Ten years ago, I underwent surgery for baseocellular carcinoma of the lower left eyelid, at a well known state ophthalmology clinic in Belgrade. To start with, the reconstructed eyelid did not look right, because it was too low, so I could not close my eye completely, which lead to drying and redness of the left eye.