
Fatty infiltration of the levator muscle has been studied widely as a contributing factor in the pathogenesis of congenital, acquired and involutional ptosis.
In 1986, Cahill and colleagues first reported combined fatty degeneration of Müller’s muscle and the anterior levator muscle. This can act as a common differential for other forms of ptosis in young individuals. We present a case report of bilateral fatty infiltrative ptosis in a young patient and the way it was managed surgically.
A 26-year-old woman presented to us with slow and progressive drooping of both upper lids over a