SYMPTOMS Vision reduction
SIGNS Upper eyelid droop
WORK-UP Thorough history and slit lamp examination. Check pupils and EOM motility.
TREATMENT Observation | Spectacle eyelid crutch | Eyelid taping | Upneeq | Eyelid surgery
FOLLOW-UP If benign, frequent follow-up is not necessary
ADDITIONAL LAB | TESTS Additional testing may be performed to rule out differential diagnoses (below)
ETIOLOGY Congenital | Horner syndrome | Myasthenia gravis | C.N. III palsy, | Chronic progressive external ophthalmoplegia
DIFFERENTIAL DX Blepharochalasis | Dermatochalasis
NOTES Measure marginal reflex distance (1 and 2)