Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy.

Am J Ophthalmol Case Rep

Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Ave, Charlottesville, VA, 22908, USA.

Published: September 2018

AI Article Synopsis

  • The report discusses a case of a 9-year-old boy with left-sided eyelid ptosis, which is an unusual symptom not linked to common causes like infections.
  • MRI results showed pansinusitis and otitis media that affected the muscle responsible for lifting the upper eyelid, providing a specific diagnosis.
  • This case highlights the importance of thorough imaging to identify underlying issues in cases of ptosis that don't fit typical presentations.

Article Abstract

Purpose: Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis.

Observations: We describe a case of a 9-year-old boy with left-sided ptosis with no apparent clinical signs of orbital or preseptal infection. Magnetic resonance imaging (MRI) revealed pansinusitis and contralateral otitis media with direct extension into the superior aspect of the left orbit affecting the levator palpebrae superioris muscle.

Conclusions And Importance: This finding on imaging disclosed the etiology of an otherwise unexplained case of upper lid ptosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058058PMC
http://dx.doi.org/10.1016/j.ajoc.2018.04.023DOI Listing

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