Teenager presents with new onset diplopia, ptosis

A 17-year-old white boy with myopia presented urgently to the pediatric ophthalmology department for new onset diplopia and ptosis of the left upper lid. He had developed binocular diplopia for 4 days before presentation, as well as left upper lid ptosis, which worsened in the last 2 days. He denied any other changes in vision but did complain of pain in the right eye with eye movement.Review of systems was positive for a mild headache, a 1-month history of upper respiratory infection symptoms and mild fatigue. He had mild paresthesias (Read more...)

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