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Image challenge
Unusual eye problem
  1. Daniel Edward Robert Beck1,
  2. Jonathan Stewart Foulds2
  1. 1 Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, UK
  2. 2 Ophthalmology, Queen Margaret Hospital, Dunfermline, UK
  1. Correspondence to Dr Daniel Edward Robert Beck, Princess Alexandra Eye Pavilion, Edinburgh EH3 9HA, UK; daniel.beck{at}nhs.net

https://doi.org/10.1136/emermed-2019-208566

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    Clinical introduction

    A previously healthy 33-year-old woman presented to the ED with a sudden-onset drooping of her left upper eyelid and a sensation of the left eye having ‘dropped down’. This happened while at rest. She had no history of recent trauma. She took no regular medication and had no history of eye problems. She reported she had been well in herself recently. She had normal vitals and full eye movements. External examination revealed the following (figure 1 …

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    Footnotes

    • Contributors DERB: drafting, background research, image modification. JF: image acquisition, drafting.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Patient consent for publication Obtained.