Congenital Ptosis with Marcus Gunn Jaw-Winking Phenomenon
Tarsofrontal Sling with Silicone to Improve Eyelid Position and Symmetry
This young patient presented with congenital ptosis associated with Marcus Gunn jaw-winking phenomenon — a condition in which the drooping eyelid moves involuntarily with jaw movements. Following detailed assessment of the eyelid and levator function, an individualised surgical approach was planned to address both the ptosis and the abnormal eyelid movement. The postoperative result showed significant improvement in eyelid position and symmetry, with a marked reduction in the jaw-winking phenomenon.
Pre-operative picture showing congenital ptosis of the left upper eyelid.
Post-operative picture after tarsofrontal sling with silicone showing improved eyelid position and symmetry.
This case highlights the importance of careful evaluation and individualised surgical planning in complex congenital eyelid disorders.