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Ophthalmic Images
September 14, 2017

Ptosis Masquerading as Progression of Severe Glaucoma

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, The University of Iowa, Iowa City
JAMA Ophthalmol. 2017;135(9):e172788. doi:10.1001/jamaophthalmol.2017.2788

A man in his early 50s had severe primary open-angle glaucoma and proliferative diabetic retinopathy in both eyes, for which he underwent panretinal photocoagulation. His intraocular pressures were well-controlled after trabeculectomies, and his optic nerves appeared stable. However, he was noted to have progressive superior visual field loss in both eyes (Figure, A). He subsequently underwent bilateral upper eyelid levator advancement with blepharoplasty for worsening ptosis. One week following surgery, his visual fields improved (Figure, B).