The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
A 46 year-old woman presented
with a one-year history of bilateral ptosis which worsened towards the end
of the day. An ice test in which ice was applied to both eyelids for one
minute showed improvement of the ptosis. When the patient was asked to
maintain a sustained upgaze there was a proressive worsening of the ptosis.