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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Surgery Suggested For Droopy Eyelids. Is It Horner's Syndrome? Have Unexplained Bruise On The Neck, Tinnitus In The Ear. No Trauma. Reason?

i have a droopy eyelid . An ice pack test works which leads me to believed i may have myasthenia gravis . i went to see an opthamologist who said this is unlikely and has sent for a blood test for MG. He said its likely to be horner s syndrome and has offered surgery for the droopy eyelid. im wary of having surgery due to not knowing the cause. I had an unexplained bruise on the front of my neck about 3 months ago and tinnitus in the left ear (same side as the droopy eyelid). The droopy eyelid started to be recognised about 4 months ago but got worse after the neck bruise. There was no trauma or explanation for this bruise and not sure if these things are linked or not...
Tue, 13 Aug 2013
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Ophthalmologist,  's  Response
Hi...
There are other features in Horner's syndrome like small pupils, anisokoria ( difference in the size of the pupils in both eyes) in addition to ptosis which may not be present in myasthenia.
There are various tests to differentiate between the two..
Further evaluation should be done to know the cause of horner's syndrome..
For ptosis of Horner's syndrome surgery can be done..
For myasthenia ptosis medical management is sufficient.
I don't think there is any relation of ptosis to bruise on the neck...
Take care..
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Surgery Suggested For Droopy Eyelids. Is It Horner's Syndrome? Have Unexplained Bruise On The Neck, Tinnitus In The Ear. No Trauma. Reason?

Hi... There are other features in Horner s syndrome like small pupils, anisokoria ( difference in the size of the pupils in both eyes) in addition to ptosis which may not be present in myasthenia. There are various tests to differentiate between the two.. Further evaluation should be done to know the cause of horner s syndrome.. For ptosis of Horner s syndrome surgery can be done.. For myasthenia ptosis medical management is sufficient. I don t think there is any relation of ptosis to bruise on the neck... Take care..