Grand Rounds
  Most Recent Cases
  Dates Cases
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
1999
1998
1997
1996
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
57 year old woman who complains "The lids are somewhat down"
Digital Journal of Ophthalmology 1997
Volume 3, Number 12
February 4, 1997
Printer Friendly



Melanie Ryan-Graham, MD | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
History
History: 57 year old French Canadian woman with ptosis for 10 years. She also has had an enlarged right pupil since her teens.

PMHx: Hypertension, rheumatoid arthritis
Meds: Xanax, Premarin, Provera, Methotrexate, Metoprolol, Calcium, Vitamin E
SHx: Non contributory
FHx: Paternal grandmother with ptosis
ROS:
- No diurnal variation of ptosis.
- No diplopia.
- No symptoms of Giant cell arteritis
- No generalized muscle weakness
- Dysphagia (solids > liquids) for many years, requiring Heimlich maneuver on several occasions
top