Lid diseases like droopy lids or ptosis disfigure the external facial appearance and hence generally need surgical correction. Ptosis is treated surgically and the operation is based on the individual child’s severity of the ptosis and the strength of the levator palpebrae superioris muscle. If the ptosis is not severe, surgery can be deferred until the child is aged 3 or 5, i.e. the pre-school years. However, if the ptosis interferes with the child’s vision, surgery may be performed at a much earlier age, even as young as 3 weeks, to allow proper visual development.
Lid tumors, warts, and papillomas are to be excised and sent for biopsy and reconstructive surgeries must be done to maintain cosmesis on lids.