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May 1947


Author Affiliations


Dr. Esposito was formerly a major in the Medical Corps, Army of the United States.; From the Department of Ophthalmology, Ohio State University College of Medicine, Columbus, Ohio.

Arch Derm Syphilol. 1947;55(5):686-690. doi:10.1001/archderm.1947.01520050088012

THE FOLLOWING unusual case of acute syphilitic bilateral total ophthalmoplegia was observed in the Eye Clinic of Hospital 97 and is recorded because of the associated diagnostic and therapeutic problems which were presented.

REPORT OF A CASE  The patient was unable to see his way into the clinic, had to grope and was aided to the examination chair. An external examination of the eyes revealed a suggestive exophthalmos and no enophthalmos, but there was pronounced ptosis bilaterally. The patient could not elevate the upper lids to any extent, and only small palpebral apertures, approximately 2 to 3 mm., were visible. The borders of the lids showed no abnormalities, and the lashes showed a normal configuration. By manual manipulation, the palpebral and bulbar conjunctivas were brought into view, and no abnormalities were noted there. The caruncles and lacrimal apparatus appeared normal. By manual elevation of the upper lids, it was noted

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