Subjects
-Tags
-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
MiddleName
-Affiliation
Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Email
-City
-Orcid
-MiddleName
-Affiliation
Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Email
-City
-Orcid
-Link
https://ejco.journals.ekb.eg/article_163060.html
Detail API
https://ejco.journals.ekb.eg/service?article_code=163060
Type
Case reports: all new cases, rare cases, interesting cases can be reported.
Publication Title
Egyptian Journal of Clinical Ophthalmology
Publication Link
https://ejco.journals.ekb.eg/
MainTitle
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