Acquired Ptosis-Traumatic

This 40-year-old man was punched in the left eye the night before his evaluation. Traumatic ptosis of the left upper eyelid with accompanying edema and periorbital ecchymosis (A) were found. When the ptotic eyelid was lifted and held in place with tape, conjunctival injection and traumatic mydriasis were seen (B). The patient had no complaints of diplopia; the remainder of the eye examination was unremarkable.