Examination commonly reveals lid lag
and superior limbic keratitis may be evident.
The neurological examination showed lid lag
on right side and decreased ability to close the right eye though there was no drooping of mouth.
Postoperative lid lag
which was expected to occur as a result of lack of complete release of lid was found only in 08 patients.
Deficiency of striated muscle fibres, which causes inability of muscle to contract and relax so that elevation of lid to its normal level in primary gaze and relaxation restriction results in lid lag
on looking down.
However, symptoms and signs that support hyperthyroidism include tremor, persistent tachycardia, weight loss and lid lag
. Exophthalmos persists after treatment and therefore does not confirm new hyperthyroidism in the absence of other features.
Specific signs in congenital ptosis are an absent lid crease, poor levator function, lid lag
on downgaze and often associated superior rectus weakness.
There was no exopthalmos, lid lag
, pretibial myxoedema or other signs of thyrotoxicosis.
Although clinical examination on ICU admission was negative for clinical signs consistent with a diagnosis of thyrotoxicosis (exophthalmos, lid lag
, goitre), the presence of persistent tachycardia, together with occasional brief episodes of atrial fibrillation, prompted us to measure thyroid hormones as part of our diagnostic evaluation.
In this she describes a patient with avulsion of the lowest root of the brachial plexus, (the first thoracic), with Horner's syndrome as a result of concomitant injury to the adjacent sympathetic chain, (lid lag
and a constricted pupil on the affected side), together with paralysis of the small muscles of the hand and sensory loss along the ulnar side of the arm.
In addition to hair loss and a wide-eyed stare or proptotic appearance, physical findings may include localized myxedema (particularly pretibial), irritative keratoconjunctivitis, lid lag
, diplopia, tachycardia, hyperactive reflexes, and smooth, warm, and velvety skin.
Eye lid lag
and lid retraction can occur in any thyrotoxic state, but proptosis (bulging eye) is specific for Graves' disease.
All complications of blepharoptosis were noted in form of cosmetic appearance, under correction, lid fold, and bell's phenomenon, synkinetic movement, lid lag
, lagophthalmos, lid notching, entropion, prolapsed of fornix, over correction, exposure keratitis, fat prolapse, sling exposure, granuloma and infection.