case_images: PMC9167473_01
case_images: PMC9167473_02
case_images: photography of the patient showing bilateral ptosis
case_images: PAMJ-41-226-g001.jpg
case_images: PMC9167473_02_PAMJ-41-226-g001.jpg
case_images: F1
case_images: The inspection found bilateral ptosis (Figure 1).
case_images: funduscopy of the right eye (A); and the left eye (B); bilateral pigmentary retinopathy with macular dystrophy
case_images: PAMJ-41-226-g002.jpg
case_images: PMC9167473_02_PAMJ-41-226-g002.jpg
case_images: F2
case_images: After dilatation, funduscopy of both eyes showed bilateral atypical pigmentary retinopathy with macular dystrophy (Figure 2).
case_images: fluorescein angiography of the right eye (A); and the left eye (B); areas of hyper- and hypofluorescence "aspect of salt and pepper"
case_images: PAMJ-41-226-g003.jpg
case_images: PMC9167473_02_PAMJ-41-226-g003.jpg
case_images: F3
case_images: Diagnostic assessment: fluorescein angiography found areas of hyper- and hypofluorescence called "aspect of salt and pepper" (Figure 3).
case_images: third degree atrioventricular block on 12-lead electrocardiogram
case_images: PAMJ-41-226-g004.jpg
case_images: PMC9167473_02_PAMJ-41-226-g004.jpg
case_images: F4
case_images: The electrocardiogram revealed a 3rd degree atrioventricular block with an average ventricular rate at 37 b/min (Figure 4).
case_images: pacemaker implantation on chest X-ray
case_images: PAMJ-41-226-g005.jpg
case_images: PMC9167473_02_PAMJ-41-226-g005.jpg
case_images: F5