case_images: PMC10917890_01
case_images: Photograph of the patient on admission.
case_images: fimmu-15-1303589-g001.jpg
case_images: PMC10917890_01_fimmu-15-1303589-g001.jpg
case_images: f1
case_images: August 2022. After admission, the visual acuity of the right eye was 0.3 and the left eye was 0.8, the ptosis of the left eye covered the pupil more than 1/2 ( Figure 1 ). We performed a staining of the CD4 cells ( Supplementary Figure 1 ) and CD8 ( Supplementary Figure 2 ) cells in the biopsy.
case_images: IgG4+ cells (x400).
case_images: fimmu-15-1303589-g002.jpg
case_images: PMC10917890_01_fimmu-15-1303589-g002.jpg
case_images: f2
case_images: Immunohistochemical showed that the ratio of IgG4+ plasmacytes to IgG+ plasmacytes was more than 40% and more than 50 IgG4+ cells per high-power field (x400) ( Figure 2 ). We performed a staining of the CD4 cells ( Supplementary Figure 1 ) and CD8 ( Supplementary Figure 2 ) cells in the biopsy.
case_images: Timeline of treatment.
case_images: fimmu-15-1303589-g003.jpg
case_images: PMC10917890_01_fimmu-15-1303589-g003.jpg
case_images: f3
case_images: Given the poor response to steroids therapy and the patient's request for surgery to improve ptosis, we performed ptosis correction of left eye and bilateral double eyelid plasty on August 15, 2023 ( Figure 3 ).