PMC9834609_01
Crust and scale along the left ophthalmic division of the patient on admission and complete ptosis of the left eyelid are noted.
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He presented to the ophthalmology clinic for an evaluation, which showed an old scale and crust on his left forehead compatible with the left ophthalmic division of the trigeminal nerve, with decreased sensation (Figure 1).
At presentation, a nine-gaze photograph shows oculomotor nerve palsy of the left eye.
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Ocular duction of his right eye was normal; however, a 10% residual limitation to supraduction and infraduction was observed and adduction did not pass the midline of his left eye (Figure 2).