PMC5418841_01
The middle photograph (A) shows mild right ptosis as seen in the primary position at age 4-years and 6-months; note the well-formed skin crease on both sides, with the crease 1 mm higher on the right. The upper photograph (B) shows poor levator function in upgaze on the right and normal elevation of both eyes. The lower photograph (C) shows restriction of the right upper lid in downgaze resulting in lid lag and scleral show; note the persistent lid crease on that side.
fneur-08-00190-g001.jpg
PMC5418841_01_fneur-08-00190-g001.jpg
F1
No synkinesis of the right levator was evident and the right upper lid was static on downgaze, with no relaxation of the levator resulting in scleral show (Figure 1) and lagophthalmos of approximately 1 mm (Figure 2).
The photograph shows lagophthalmos on the right at age 4 years and 6 months.
fneur-08-00190-g002.jpg
PMC5418841_01_fneur-08-00190-g002.jpg
F2
No synkinesis of the right levator was evident and the right upper lid was static on downgaze, with no relaxation of the levator resulting in scleral show (Figure 1) and lagophthalmos of approximately 1 mm (Figure 2).