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June 1940


Author Affiliations

From the Department of Ophthalmology, School of Medicine, University of Habana ; Prof. C. E. Finlay, Chief of Service.

Arch Ophthalmol. 1940;23(6):1169-1172. doi:10.1001/archopht.1940.00860131327004

An interesting case of paradoxic elevation of the lid, presented by Dr. Sanford R. Gifford,1 attracted my attention at the same time that I was studying a similar case. A bibliographic research had met with little success, no similar case having been found in the literature. I shall not attempt to give here any pathogenic interpretation of the phenomenon but shall confine myself to the presentation of an illustrative picture, with a consideration of its extraordinary features.

REPORT OF A CASE  A. S., aged 39, in 1932 began to have difficulty with the vision in his left eye, which increased gradually. The condition was not associated with diplopia, vertigo or any other disturbance, nor had the patient had any previous ocular trouble. The disturbance started with a deviation of the eye outward, the upper lid at the same time drooping and occluding the eye almost completely.The patient was

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