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JAMA Ophthalmology Clinical Challenge
July 16, 2020

Acute Ptosis in a Middle-aged Man With Hypertension

Author Affiliations
  • 1Bascom Palmer Eye Institute, Miami, Florida
JAMA Ophthalmol. Published online July 16, 2020. doi:10.1001/jamaophthalmol.2020.1320

A 56-year-old man with hypertension presented with 2 weeks of acute ptosis in the left upper eyelid. Three weeks prior, the patient had noted severe left-sided facial pain. He denied any diplopia, decreased vision, or recent trauma. The patient had previously been evaluated by his primary care physician and referred to a neuroophthalmologist. During the course of the workup, the patient had undergone computed tomography (CT) of the head and chest, magnetic resonance imaging (MRI) of the brain, and carotid duplex ultrasonography. Following a workup with unremarkable results, the patient presented to the Bascom Palmer emergency department for a second opinion.

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