PMC9167473_01
PMC9167473_02
photography of the patient showing bilateral ptosis
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F1
The inspection found bilateral ptosis (Figure 1).
funduscopy of the right eye (A); and the left eye (B); bilateral pigmentary retinopathy with macular dystrophy
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F2
After dilatation, funduscopy of both eyes showed bilateral atypical pigmentary retinopathy with macular dystrophy (Figure 2).
fluorescein angiography of the right eye (A); and the left eye (B); areas of hyper- and hypofluorescence "aspect of salt and pepper"
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F3
Diagnostic assessment: fluorescein angiography found areas of hyper- and hypofluorescence called "aspect of salt and pepper" (Figure 3).
third degree atrioventricular block on 12-lead electrocardiogram
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F4
The electrocardiogram revealed a 3rd degree atrioventricular block with an average ventricular rate at 37 b/min (Figure 4).
pacemaker implantation on chest X-ray
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F5