A 67-year-old man was referred to the oculoplastic service at Beth Israel Lahey Medical Center by an outside eye care provider for surgical evaluation of worsening left upper eyelid ptosis for about 7 months.
His symptoms began with unilateral left-sided upper lid ptosis 7 months prior, associated with morning epiphora and blurriness that seemed to resolve shortly after awakening. He denied any diplopia, pain, headaches or neurologic symptoms, and he reported no problems in the opposite eye. Ocular history was significant for acute iritis in both eyes that was successfully treated with steroid