case_images: PMC11709421_01
case_images: Left optical coherence tomography of the macula showing myopic changes of the fundus with no pigmentary retinopathy.. A: left fundus image. B: left retinal thickness map (red-free). C: left retinal layers - plane T (top surface) and plane S (bottom surface). D: left retinal thickness map with ETDRS grid overlay. Abbreviations: ETDRS, early treatment diabetic retinopathy study
case_images: cureus-0017-00000077149-i01.jpg
case_images: PMC11709421_01_cureus-0017-00000077149-i01.jpg
case_images: FIG1
case_images: Optical coherence tomography (OCT) revealed changes consistent with high myopia (Figures 1-2).
case_images: Right OCT of the macula showing myopic changes of the fundus with no pigmentary retinopathy . A: right fundus image. B: right retinal thickness map (red-free). C: right retinal layers - plane T (top surface) and plane S (bottom surface). D: Right retinal thickness map with ETDRS grid overlay . Abbreviations: OCT, optical coherence tomography; ETDRS, early treatment diabetic retinopathy study
case_images: cureus-0017-00000077149-i02.jpg
case_images: PMC11709421_01_cureus-0017-00000077149-i02.jpg
case_images: FIG2
case_images: Optical coherence tomography (OCT) revealed changes consistent with high myopia (Figures 1-2).
case_images: Maximal Eyelid Opening and Closing Prior to Ptosis Repair. Also seen are ophthalmoplegia, loss of upper eyelid crease and exotropia. . A: Eyelid fully closed
  B: Eyelid fully opened
case_images: cureus-0017-00000077149-i03.jpg
case_images: PMC11709421_01_cureus-0017-00000077149-i03.jpg
case_images: FIG3
case_images: In CPEO, progressive muscle weakness leads to ptosis (as seen in Figure 3A-3B) and limited eye movement, necessitating the use of this technique to bypass the weakened levator muscles.
case_images: Surgical markings for brow suspension procedure
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case_images: PMC11709421_01_cureus-0017-00000077149-i04.jpg
case_images: FIG4
case_images: The procedure involved making incisions in the upper eyelid and along the brow (Figure 4).
case_images: Two months post-ptosis repair surgery, demonstrating significant improvement in ptosis and the reformation of the upper eyelid crease bilaterally (indicated by red arrows)
case_images: cureus-0017-00000077149-i05.jpg
case_images: PMC11709421_01_cureus-0017-00000077149-i05.jpg
case_images: FIG5
case_images: Postoperatively, the patient's eyelid position significantly improved, restoring a more natural field of vision and reducing the functional limitations caused by ptosis (Figure 5).