Three patients who developed unilateral ptosis followed by partial third nerve palsy were found to have a pituitary tumour. The visual field defects were minimal and asymptomatic. Two patients had a chromophobe adenoma and one patient had a prolactinoma. The importance of recognising a pituitary tumour as the cause of acquired unilateral ptosis is emphasised.

Hutchinson (1897) described a disorder in which ptosis was associated with paralysis of the other extraocular muscles to which he gave the name "external ophthalmoplegia". Fuchs (I890) reported five patients with ptosis, in two of whom the disorder was familial, and Dutil (I892) and Delord (I903) published two other cases of an unusual familial form of dysphagia associated with ptosis. The prev...

PURPOSE To test the hypothesis that posterior approach ptosis surgery, with or without blepharoplasty, can improve the cosmetic appearance of the eyelid. METHODS In a retrospective, observational, consecutive case cohort study, 261 patients who had posterior approach upper eyelid ptosis surgery with or without concurrent blepharoplasty performed by one surgeon, between 1997 and 2009, were rev...

BACKGROUND For patients with senile ptosis, aesthetic blepharoplasty can be combined with ptosis surgery. However, the amount of skin excision necessary in blepharoplasty is not clearly defined by measurements of the upper eyelids. OBJECTIVES The authors preoperatively evaluate the amount of skin to be excised in blepharoplasty. METHODS Fifty patients with bilateral senile ptosis were inclu...

To cite: Kumar S, Shukla R. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-207686 DESCRIPTION A 14-year-old boy presented with mild headache of 20 days duration and three episodes of vomiting over the past 3 days. On clinical evaluation, he had grade I papilloedema along with bilateral partial ptosis (figure 1). Extraocular movements, pupils and the rest of...

purpose: congenital third nerve palsy was generally thought to exist in isolation without associated abnormalities. in this report, we present a case of congenital third nerve palsy in osteogenesis imperfecta. methods: a 6-month-old girl with osteogenesis imperfceta presented with ptosis and large incomitant exotropia in left eye (le) at birth. ocular examination revealed total third nerve pals...