My son's one eye is slightly open and also has angel's kiss on that eyelid. Is that due to ptosis?

Hello,

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I have seen the photos. (attachment removed to protect patient identity). From the photos, I can see a few variations from the normal anatomy in both upper lids. There is an extra fold of skin over the upper lid of the right eye, this is called epiblepharon in medical terminology. Now coming to your question of ptosis in the left eye, although there is a little bit of upper lid drooping in the left eye compared to the right, it would be hard to say that it is due to congenital ptosis. My advice to you is Regarding the left eye, wait and watch for another year. Congenital ptosis does require surgery to correct it, but the ideal time to operate would be when the patient is 3-4 years old. This is because we can get more accurate measurements for the surgery then, and the child will also be able to tolerate the procedure. Also, the upper eyelid dropping could be because of the haemangioma or the angel's kiss, which eventually would resolve on its own and the drooping may come down with it. Regarding the right eye, the epiblepharon although harmless on its own, sometimes may cause the inward turning of the eyelids. This may cause the eyelashes to rub against the black portion of his eye (cornea). This needs to be kept in your mind, in case he complains of something irritating his right eye. Kindly visit your doctor when this happens. The treatment for this cause is also surgical. I hope this helps.