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35 Possible Causes for S-Shaped Eyelids, Unilateral Ptosis

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  • Orbital Disease

    Plexiform Neurofibromas Clinical Features Infiltrative, well-vascularized tumor within eyelid, orbit. Upper lid lesion: “bag of worms,” S-shaped eyelid.[entokey.com] The typical acute presentation of dacryoadenitis includes pain, enlargement of the lacrimal gland, an S-shaped ptosis of the upper eyelid, and tenderness to palpation.[nature.com] S-shaped eyelid deformity. Localized chemosis. Demographics All ages, men and women. Ophthalmic Findings Children may develop papillitis.[entokey.com]

  • Acute Dacryoadenitis

    The swelling was greatest in the temporal half of the upper eyelids producing the characteristic S-shaped curve to the lid margin.[aaopt.org] A 68-year-old man sought care in our emergency department for unilateral ptosis following superior and inferior right eyelid edema.[mdedge.com] One week later, you see the gland enlarge causing a mild ptosis. What is the diagnosis? A. Chronic dacryoadenitis B. Acute dacryoadenitis A.[brainscape.com]

  • Autosomal Dominant Progressive External Ophthalmoplegia Type 3

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] Unilateral Ptosis and Homolateral Hemifacial Weakness in Chronic Progressive External Ophthalmoplegia. Neuroophthalmology . 2017 Jun. 41 (3):165-166. [Medline] .[emedicine.medscape.com] Half of CPEO patients have asymmetric ptosis (9, 10) and a rare few have unilateral ptosis (9, 11-13).[neuroophthalmology.ca]

  • Saethre-Chotzen Syndrome

    Your child’s features, including their eyelids and shape of their ears, will help the doctor tell whether they have Saethre-Chotzen syndrome or another condition.[seattlechildrens.org] Clinical features of this syndrome include unilateral or bilateral coronal synostosis, ptosis, low-set ears, hearing loss, hypertelorism, maxillary hypoplasia, deviated nasal[ncbi.nlm.nih.gov] Unilateral or bilateral coronal synostosis, low frontal hair line, strabismus, ptosis, and partial cutaneous syndactyly of fingers and toes are findings suggestive of the[ncbi.nlm.nih.gov]

  • Blepharophimosis-Epicanthus Inversus-Ptosis Syndrome

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] Maximal levator resection in the treatment of unilateral congenital ptosis with poor levator function. Orbit . 2001;20(2):125-129 PubMed Google Scholar Crossref 10.[jamanetwork.com] Super-maximum levator resection for severe unilateral congenital blepharoptosis. Ophthalmic Surg . 1984;15(12):971-979 PubMed Google Scholar 12.[jamanetwork.com]

  • Autosomal Dominant Progressive External Ophthalmoplegia

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] Unilateral Ptosis and Homolateral Hemifacial Weakness in Chronic Progressive External Ophthalmoplegia. Neuroophthalmology . 2017 Jun. 41 (3):165-166. [Medline] .[emedicine.medscape.com] Half of CPEO patients have asymmetric ptosis (9, 10) and a rare few have unilateral ptosis (9, 11-13).[neuroophthalmology.ca]

  • Optic Atrophy-Intellectual Disability Syndrome

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] Corneal and lenticular opacities Unilateral ptosis (droopy eyelids) Optic atrophy Galactosemia Syndrome This syndrome is characterized by allergy to milk; autosomal recessive[tsbvi.edu] […] congenital ptosis, elevation of ptotic lid upon movement of lower jaw ?[eyewiki.aao.org]

  • Uveal Coloboma - Cleft Lip and Cleft Palate - Intellectual Disability

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] One patient has unilateral ptosis but none has an ocular coloboma.[jmg.bmj.com] Ptosis, unilateral or bilateral, can be present. One patient was reported to have unilateral aniridia and a corneal leucoma.[disorders.eyes.arizona.edu]

  • Baraitser-Winter Syndrome 1

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] Clinical Characteristics Ocular Features: Ptosis (both unilateral and bilateral), hypertelorism, prominent epicanthal folds, and colobomata are common.[disorders.eyes.arizona.edu] […] congenital ptosis, elevation of ptotic lid upon movement of lower jaw ?[eyewiki.aao.org]

  • Congenital Fibrosis of Extraocular Muscles

    Plexiform neurofibroma characteristically produces an S-shaped contour to the eyelid which when palpated may feel like “a bag of worms.”[reviewofophthalmology.com] Patient has unilateral ptosis and esotropia. B. Patient has severe bilateral ptosis in primary position despite with marked frontalis effort. C.[slideshare.net] While CFEOM 1 typically involves bilateral ptosis and ophthalmoplegia, CFEOM 3 has a more variable phenotype in which ptosis may be unilateral, ophthalmoplegia may be mild[webeye.ophth.uiowa.edu]

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