5 year old boy complaining rt side eye lid dropping ..no discharge from eyes, no local inflammation, no so erb palsy, no history of cha infection.. what r diagnosis and management

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Unilateral ptosis is usually caused by 3rd cranial nerve palsy. there are five potentially dangerous disease entities that may present with unilateral or bilateral ptosis: Horner syndrome; Partial or complete CN-III palsy; Myasthenia gravis; Malignancy or infection of the superior eyelid, conjunctival cul-de-sac or anterior orbit; and Chronic progressive external ophthalmoplegia The surgical approach to unilateral ptosis depends on the severity of the ptosis and its etiology, and the surgeon should be aware of which procedure is most likely to provide the best outcome in selected instances.

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Unilateral ptosis Rule out 3rd nerve palsy To rule out myasthenia gravis

Ptosis RE , Comments on vision, amblyopia,duration,severity, ocular movement, pupillary reaction, MRD 1,2 and 3, MCD, LPS function, collect old pics of child....After this much information, management can be discussed most probably it's congenital ptosis

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Ptosis in a child may be developmental .One has to provide a little bit of history from the parents . In ptosis due to oculomotor nv palsy not only ptosis but other features like restricted ocular movements and pupil dilatation should be noted.

Congenital ptosis Rt eye compensatoy elevation of rt eyebrow, absence of lid groove narrow palpebral fissure in strate,down&up gage needs sling operation

SUGGESTIVE OF RT. SIDED UNILATERAL ..PTOSIS... MAYBE.... CONGENITAL OR DRUG. INDUCED.... NEEDS. COMPLETE. HISTORY

Horner myasthenia any intracranial pathology leading to 3rd nerve palsy

Unilateral ptosis 3rd nerve palsy

Congenital ptosis - rt eye .

Use myasthenia gravis inj. And wait and watch 60 sec.if ptosis sub side the this is due to myasthenia othervoise congenital or third nerve pal

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