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We included 53 congenital ptosis patients who underwent frontalis suspension surgery in Hunan Children's Hospital. Each patient underwent a refractive assessment before and after surgery to evaluate astigmatism. We additionally evaluated the results and problems linked to the procedure. Amount of astigmatism in ptotic and other eyes had been - 1.45 ± 0.59 D and - 0.66 ± 0.51 D before surgery. Ratio of severe astigmatism in ptotic and other eyes ended up being 51.3 and 12.8%. The fellow eyes presented wit