Ptosis slk

Ptosis slk – This 42yo lady presented complaining of a droopy left upper eyelid, and stated she wanted surgery to lift the lid. This is what she looks like with eyes in primary position.

Ptosis image showing eyelid position on forward gaze.
See more before and after photos –

Turns out, she has a completely separate problem causing bilateral variable ptosis. In downgaze, the superior limbic keratitis (slk) is clearly evident, worse on the left side.

ptosis slk - eyelids are lifted to show slk or superior limbic keratitis on a downward gaze.

There are many lessons here, but the most important one is to never let the patient bias your clinical decision-making process. I call this the stolen diagnosis: the patient steals the diagnosis from the internet and offloads it to you. Beware!

More information available at

Need to book an appointment? Click here