To see views enlarged, click on the individual pictures...

This 2-year-old boy is said by his parents to “look funny” when he “drinks his bottle”.

1.	The most likely cause of this finding is:
	a. left upper lid fibrosis b. third nerve palsy of the right eye with a secondary deviation c. miswiring of the fifth to the third cranial nerve on the left d.  thyroid disease e. none of the above
2.	This condition is called:
	a. Hummelsheim syndrome b. idiopathic lid lag c. pseudo ptosis d.  Marcus-Gunn jaw winking e. Gardner syndrome
3.	Treatment in this case would most likely be:
	a. disinsertion of the levator aponeurosis of the left upper lid b. extirpation of the left levator aponeurosis followed by frontalis suspension c. no surgery now observe if the parents note this relatively infrequently d.  levator resection in the right upper lid to match the left e. none of the above

For answers to the above, click here on or after October 17, 2006.