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Hi There. This Is For A Second Opinion Even Though

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Posted on Thu, 30 Apr 2020
Question: Hi There. This is for a second opinion even though I 100% trust the first one. Let me start by saying that my wife is a severe hypochondriac. We shuffle from disease to disease that she may have. We get a solid answer - and then she feels better until the next round. It's a personal hell that she is trapped in with her mind. This time it is about her eyes. It all started when she noticed an "extra" line above the normal creases on the eye lids. The extra line is her eyelid skin sinking where the eye socket is. So she was fixated on this for a week thinking that her eyelids were losing their muscles. Which I told her that doesn't even make sense. If anything the skin would not be sinking into the eyes socket if the muscles are weak - wouldn't they be taught because the eyelid is hanging down? Anywho - She found that dehydration can cause that line to form. She drank a normal amount of water for two days and it disappeared. She was feeling pretty good but decided to keep her Ophthalmolgist thinking the Dr. was going to tell her 100% no way you have Ptosis or the bigger one she is afraid of myasthenia gravis. The Dr. measured her eye lids and the difference between the two is 1mm. 1mm! I looked at my eye lids and they are not exactly the same either. Her concern is that what if this is the beginning of Petosis which can lead to the MG. Backstory - she has been to three neurologists - all her bloodwork is perfect. Not only does she have extensive bloodwork from the neurologist - she has all perfect bloodwork from a rheumatologist too. The neurulologist is doing a follow up in a few months too so she is worried about that as well. But - currently - the main crippling point of concern is that her eyelids are starting to droop down - which is the ptosis - and then that will turn into the MG. Any advice for us? It is totally normal for people to have eyelids that can be 1mm off?
doctor
Answered by Dr. Harshita (4 hours later)
Brief Answer:
Do you have her old photos ? You can measure it there also and compare

Detailed Answer:
Hey thanks for the question . It can be totally normal to have 1mm difference between two eyes . You can compare with her old photographs if she had this beofre also . Secondly not ever case of ptosis is Myasthenia gravis so do not worry about that . Apart from it please get her thyroid checked too as it can elevate the other eye and it might appear that the oppposite eye has ptosis . Hope my answer helps you . Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Harshita (7 days later)
Hi. I have a question about pupils. Are they supposed to be exactly the same size all the time? In some light the right is bigger than the left - some light they are exactly the same. But it is always the right that is bigger when this happens.
doctor
Answered by Dr. Harshita (1 hour later)
Brief Answer:
The pupil on which light falls constricts and can appear smaller

Detailed Answer:
Hey thanks for the follow up . The pupil on which light falls can be smaller as pupil constricts when light falls on it . Secondly if you think that still there is a size difference between the two you should get an ophthalmology appointment and examination to rule out any causes which is behind it as certain neurological
causes can lead to difference in size of pupil at times . Hope my answer helps you . Regards .
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Harshita

Ophthalmologist

Practicing since :2011

Answered : 2445 Questions

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Hi There. This Is For A Second Opinion Even Though

Brief Answer: Do you have her old photos ? You can measure it there also and compare Detailed Answer: Hey thanks for the question . It can be totally normal to have 1mm difference between two eyes . You can compare with her old photographs if she had this beofre also . Secondly not ever case of ptosis is Myasthenia gravis so do not worry about that . Apart from it please get her thyroid checked too as it can elevate the other eye and it might appear that the oppposite eye has ptosis . Hope my answer helps you . Regards