case_images: PMC6826180_01
case_images: Preoperative photograph (top) and postoperative (day 2) photograph after frontalis sling-suspension surgery (bottom).
case_images: IMCRJ-12-325-g0001.jpg
case_images: PMC6826180_01_IMCRJ-12-325-g0001.jpg
case_images: F0001
case_images: A 9-year old male presented with a history of drooping of the right upper lid since childhood with visual acuity of 6/6 (Snellen chart) in both eyes (Figure 1, top). There was overcorrection of the ptosis by 1 mm in primary gaze with mild lid edema and prominent lagophthalmos (Figure 1, bottom).
case_images: Postoperative (day 2) photograph showing inversion of Bell's phenomenon in both eyes following right frontalis sling-suspension surgery.
case_images: IMCRJ-12-325-g0002.jpg
case_images: PMC6826180_01_IMCRJ-12-325-g0002.jpg
case_images: F0002
case_images: Inverse Bell's phenomenon (downward rolling of the eyeball) was noted during eyelid closure (Figure 2).
case_images: Postoperative (day 22) photograph of the patient (top) and showing reversal to normal Bell's phenomenon in both eyes (bottom).
case_images: IMCRJ-12-325-g0003.jpg
case_images: PMC6826180_01_IMCRJ-12-325-g0003.jpg
case_images: F0003
case_images: At the 3-week postoperative visit, vertical palpebral fissure height was 11 mm in both eyes, with minimal lagophthalmos in the right eye (Figure 3, top). It had became normal (upward and outward), without any evidence of exposure keratopathy (Figure 3, bottom).