By Beau B. Bruce, MD, MS
    Annual Meeting 2013

    In this segment of the 2013 Neuro-Ophthalmology Subspecialty Day series on recognizing distinctive neuro-ophthalmic symptoms, signs, and tests, Beau Bruce presents to panelists Anthony Arnold, Lanning Kline, Mark Kupersmith, and Valerie Purvin the case of an 80-year-old woman who presents with left ptosis. She is unclear about the onset. She says that the ptosis definitely worsens over the course of the day. She also notes occasional diplopia. Her past history is notable for medication-controlled hypertension and bilateral cataract extraction with IOL implantation. She denies other visual changes, headache, scalp tenderness, and jaw claudication.