DOI: 10.1001/jamaophthalmol.2026.3190 ISSN: 2168-6165

Sudden-Onset Ptosis in a Young Female Patient

Sarah Munger, Sruti S. Akella, Craig Munger

A 25-year-old female patient with a recent history of left-sided root canal, tooth extraction, and bone graft presented with left eye pain and blurry vision, ptosis, persistent headache, and neck stiffness. Examination revealed left mydriasis without relative afferent pupillary defect. What would you do next?

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