Patient: The left eye has not been open since birth, and now it is only open for less than half a month at 4 and a half months, and I went to Shanghai for a special checkup, saying that it is congenital ptosis, and it is severe. I feel very scared, I think the child is too small, I want to ask if I can wait a little older, but that doctor said there will be no vision, and very scared, thank you Dr. Xiang can give a reply, if needed I can Guangzhou to see. The symptoms of congenital ptosis in children 4 and a half months old will decrease with age. In most cases, even though the pupil of the ptosis is partially obscured, the child will be able to use the diseased eye by looking at things with raised eyebrows and a little bit of head lifting. Therefore, the fact that the child will have movements such as raising the eyebrows and tilting the head once he or she is a little older indicates that the eye with ptosis is being used and that there is no possibility of deprivation amblyopia due to masking and that surgery too early is not necessary. There is no need to come to Guangzhou for the time being. Patient: Thank you very much for your reply, we are very confused as parents. I also have a question for Dr. Xiang. Can this congenital ptosis lead to eye diseases like strabismus before surgery at age one? My daughter does not seem to have strabismus at this time. Thank you for your help! Guangzhou Children’s Hospital Ophthalmology Department: Welcome to our site! Before surgery at age one, congenital ptosis will not lead to strabismus or other eye disorders, as long as it does not lead to deprivation amblyopia and does not form the refractive basis of strabismus.