Figure 1: (a) A 13-year-old girl presented with severe drooping of the left upper eyelid for 2 years. On examination, she had 5 mm of left blepharoptosis with a clinical activity score of 2. Also note the lower eyelid retraction in OU with inferior scleral show OS > OD. There is no eyelid edema or conjunctival congestion. There is mild right upper eyelid retraction. (b) Worm's eye view showing left-sided proptosis.