A droopy eyelid impairing vision Blepharoptosis can impair daily activities because of obstruction of the visual axis. Although it is caused by involutional chages often, it may also become the presenting sign of underlying systemic disease. Case presentation A 50-year-old woman presented to her GP complaining of droopy upper eyelids that had been slowly worsening over many years . Her superior visual field was obstructed, but she could resolve this by lifting the lids manually. The eyelid droop remained constant during the day and she denied any pain, swelling, redness or lumps. She had no background of trauma, prior attention surgery or muscle weakness in the face or body elsewhere.Data confidentiality was required by contractual contract between each scholarly research site and the sponsor. The decision to submit the manuscript for publication was created by people of the publication committee and the sponsor. All authors participated in writing, revising, and reviewing the manuscript. The academic authors and the authors who are employees of the sponsor vouch for the precision and completeness of the info and analysis and the fidelity of the analysis to the trial process. The scholarly study protocol was approved by the institutional review table at each participating middle, and written informed consent was provided by a mother or father or legal guardian for all study participants. Participant Selection Children were qualified to receive the study if they were 16 years or younger, weighed between 3 and 60 kg, had two-ventricle circulation, had severe center failure despite optimized medical treatment, and were on a waiting list for cardiac transplantation.