Images and videos

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Evaluation of ptosis

Ptosis in a 6-year-old boy. Ptosis is normally due to weakness of the levator muscle of the upper eyelid, here of the left eye (at right). This patient has had this condition since birth, and has had three operations aimed at correcting the condition

Mid Essex Hospital Services NHS Trust/Science Photo Library; used with permission

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Evaluation of ptosis

Oculomotor nerve palsy. Face of a 36-year-old woman with third nerve palsy after surgery to treat a subarachnoid haemorrhage. A berry aneurysm, a common localised dilation of an intercranial artery, caused the subarachnoid hemorrhage. Third nerve palsy is a dysfunction of the third cranial nerve, the oculomotor nerve, which controls the movement of the eyes. It leads to an inability to move the eye, double vision, a fixed and non-reactive pupil and eyelid drooping (ptosis, seen here, right eye)

Dr P Marazzi/Science Photo Library; used with permission

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Evaluation of ptosis

Measurement of vertical interpalpebral fissure

From the collection of Dr Allen Putterman

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Evaluation of ptosis

Male patient suffering from post-traumatic acquired ptosis, likely caused by an injury to the eyelid

Barraquer, Barcelona - ISM/Science Photo Library; used with permission

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8

Evaluation of ptosis

Measurement of margin-reflex distance

From the collection of Dr Allen Putterman

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9

Evaluation of ptosis

Ptosis in an 89 year old male patient following a botox injection to correct double vision (diplopia)

Dr P Marazzi/Science Photo Library; used with permission

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11

Evaluation of ptosis

Oculomotor nerve palsy. Face of a 36-year-old woman with third nerve palsy after surgery to treat a subarachnoid haemorrhage. A berry aneurysm, a common localised dilation of an intercranial artery, caused the subarachnoid hemorrhage. Third nerve palsy is a dysfunction of the third cranial nerve, the oculomotor nerve, which controls the movement of the eyes. It leads to an inability to move the eye, double vision, a fixed and non-reactive pupil and eyelid drooping (ptosis, seen here, right eye)

Dr P Marazzi/Science Photo Library; used with permission

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4

Evaluation of ptosis

Drooping eyelid (ptosis) in 69 year old female patient due to myasthenia gravis (MG). MG is a rare autoimmune neuromuscular disorder that weakens and fatigues the body's voluntary muscles, which include the muscles that control movement of the eyes and eyelids

Dr P Marazzi/Science Photo Library; used with permission

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Evaluation of ptosis

Position of upper eyelid in downgaze

From the collection of Dr Allen Putterman

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Evaluation of ptosis

Sagittal view of eyelid anatomy

From the collection of Dr Allen Putterman

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2

Evaluation of ptosis

Bilateral, asymmetric, congenital myogenic ptosis

Mid Essex Hospital Services NHS Trust/Science Photo Library; used with permission

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7

Evaluation of ptosis

Position of upper eyelid in upgaze

From the collection of Dr Allen Putterman

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