Microphthalmia, also known as microphthalmia, is a congenital genetic disorder in which the eyelids are extremely small and the distance between the inner and outer canthus is extremely short. It has the typical tetrad of bilateral ptosis, narrow lid fissures, inverted medial canthus, widened medial canthus spacing, some with nasal dorsal hypoplasia, and may have lid dysplasia, often combined with extraocular anomalies seen in microphthalmia or cryptophthalmos. It can affect the child’s appearance, visual development, and mental health development. In Beijing Children’s Hospital, the surgical correction of microphthalmos, entropion, and ptosis has yielded good results, improving the child’s facial appearance and promoting normal visual and psychological development. 1. Shan Shan, a girl, is the smallest child with small lid surgery in our department, whose eyes could not be opened after birth and were thin. Because of her severe hyperopia and astigmatism, she underwent blepharoplasty at the age of 1.5 years for early treatment of amblyopia. The mother was so happy that she hugged and kissed her baby and was so excited. 2, Xinxin, girl, 3 years old, small lid fissure syndrome, because after birth, her eyes are small and slit, whenever she plays with children, because she can’t open her eyes, she always looks up with her mouth open and struggles to see (pre-operative photo), and from time to time she has to use both hands to lift her upper eyelids, but she can’t get her hands free and as a result, she can’t grab the toys, so she always cries and children don’t like to play with her. Before the child was hospitalized in our department for plastic surgery in October 2009, we were impressed to see these special movements of the child every time we visited the hospital. Now, two months after the surgery, the child’s eyes have become bigger and longer, the eyelids are lifted, and the child’s outlook has been surprisingly improved. After the surgery, the mother shed tears of excitement: “I didn’t expect my baby to be so beautiful! What a difference!” 3. Chen Chen, a boy of 3 years old, was recognized as a “handsome boy” in our ophthalmology ward after his successful blepharoplasty surgery. (The picture is about 10 days after the surgery) But who would have thought what he looked like before the surgery?