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163060

ACUTE COLD UNILATERAL ISOLATED PTOSIS WITH RAPID RESPONSE OF HIGH DOSE OF STEROID

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Last updated: 05 Jan 2025

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Abstract

A 23-year-old female presented with acute onset left painless ptosis of 5 days duration. No
other ocular or neurological symptoms were associated. Ophthalmological examination was free
with noticed brisky pupil reaction. Both systemic and neurological examinations were free. CT
and MRI imaging were free with no swollen levator or any extra ocular muscles. After showing
no improvement over 5 days with no medications the patient started oral prednisolone in low
dose 15 mg per day after one week no improvement detected then high steroid therapy 45 mg
per day was given with marked improvement within couple of days. The same dose was
prescribed for 5 days with gradual withdrawal over 2 weeks. The patient remains symptomless
all over six months which is the follow-up period. Conclusion: Acute ptosis may indicate serious
pathology or may be simple pathology with rapid improvement.

DOI

10.21608/ejco.2018.163060

Keywords

Ptosis, steroids, Levator function, diplopia

Authors

First Name

Alsamman,

Last Name

A.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

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Orcid

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First Name

Radwan

Last Name

Y.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

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City

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Orcid

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Volume

1

Article Issue

1

Related Issue

23736

Issue Date

2018-06-01

Receive Date

2018-02-13

Publish Date

2018-06-01

Page Start

7

Page End

11

Print ISSN

2537-0502

Online ISSN

2537-0944

Article File

EJCO_Volume 1_Issue 1_Pages 7-11.pdf

PDF . 96.8kB

Link

https://ejco.journals.ekb.eg/article_163060.html

Detail API

https://ejco.journals.ekb.eg/service?article_code=163060

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Type

Case reports: all new cases, rare cases, interesting cases can be reported.

Type Code

1,826

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

MainTitle

ACUTE COLD UNILATERAL ISOLATED PTOSIS WITH RAPID RESPONSE OF HIGH DOSE OF STEROID

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Article

Created At

23 Jan 2023