History: This 3-year-old girl has an inability to elevate the left eye, but the Bell phenomenon is intact. Refraction is OD +0.50 - 0.50 x 180 and OS +0.50. Other than the motility, the eye examination is normal. There appears to be a pseudoptosis of the left upper lid. Earlier pictures demonstrate a less severe involvement. Is this a double elevator palsy or is further investigation needed? A neurologic examination was said to be normal and CT scan was unremarkable.
Diagnosis: double elevator palsy
To see views enlarged click on the individual pictures...