 
Levator Paresis
Either sides missing levator muscle activity.
Both upper eyelids cover the pupils. It is a severe form of the congenital ptosis.
Both levator muscles do not show any activity and the natural furrows of the lids are
not developed.
The child stretches the head backwards to be able to “look out” the very close palpebral
fissures. This forced posture can cause additional damages to the cervical spine.
A suspension of the frontal muscle leads to a surgical improvement of the opening of the
lid. This surgical method is highly established if it is indicated and applied in the right way.
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