Introduction:Blepharoptosis is described as a condition of narrowed eyelid slit caused by a drooping or lower position of the upper eyelid of one or both eyes.Aim:The aim of this article is to analyse the clinical features, associations with eyelid and oculomotor disorders, refractive abnormalities, and histologic characteristics of patients, operated on with a diagnosis of congenital ptosis over a five-year time period, and to present our clinical and surgical approachMaterials and Methods:Retrospective analysis of treatment records of 64 patients with congenital ptosis was conducted. The investigated parameters were forced chin position, asymmetric eyebrow elevation, presence of refractive errors, amblyopia, strabismus, hooded eyelid, syndromic diseases of eyelids and eyelid muscles.Results:Using the one-way ANOVA method to analyse non-parametric data, we found that there was no association between the presence of refractive errors, strabismus, eyebrow elevation, and laterality of disease in both genders. We found a correlation between the presence of bilateral ptosis and forced chin position.Conclusion:Our study on the clinical associations of congenital ptosis demonstrated the multifaceted and diverse pathology associated with this condition. In addition to the higher incidence of refractive errors and strabismus, the cause of reduced vision, in congenital ptosis we find combined accommodative disorders, periocular changes, and oculofacial synkinesis. The presence of all these pathologic changes requires meticulous examination, precise treatment judgement, and long-term follow-up of each individual patient
