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This 9-year-old boy has had a droopy right upper lid since birth. He frequently tilts his head back as shown in the pictures. His vision is OD 20/50 and OS 20/20. Versions and ductions are normal in both eyes. Refraction is OD -.50 +1.50 x 85 and OS +.50.

1.	The most likely diagnosis for this boy is:
	a. double elevator palsy b. contralateral palsy of the antagonist c. congenital ptosis d. torticolis e. none of the above
2.	What is most important to know about this patient before proceeding to treatment?
	a. the Bell’s response and the corneal sensitivity b. how he is doing in school c. whether other family members are similarly affected d. the patient's height e. response to the Tensilon test
3.	An appropriate treatment is likely to be:
	a. levator resection b. tarso/conjunctival resection c. crutch glasses d. frontalis suspension e. none of the above

For answers to the above, click here on or after November 11, 2008.