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Consultant Ophthalmologist, Cataract & Refractive Surgeon
BMedSci BM BS MRCS MRCSEd MRCOpth FRCOphth MMedLaw PgD Cataract & Refractive Surgery

Your patient has a ptosis

Check pupil sizes and eliminate Horner's syndrome. Check history for symptoms of myasthenia gravis. Refer routinely.