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. 2017 Feb;31(1):5–16. doi: 10.1055/s-0037-1598188

Table 1. Differential diagnosis of blepharoptosis.

Neurogenic
  Oculomotor / cranial nerve 3 dysfunction
  Horner's syndrome / oculosympathetic paresis
  Myasthenia gravis / ocular myasthenia subtype
  Guillain-Barré syndrome / Fisher's variant
  Multiple sclerosis
  Cluster headache
  Ophthalmoplegic migraine
  Marcus Gunn jaw-winking syndrome
  Botulism
Myogenic
  Congenital ptosis
  Congenital fibrosis of the extraocular muscles
  Chronic progressive external ophthalmoplegia / Kerns-Sayre syndrome subtype
  Muscular dystrophy
  Oculopharyngeal muscular dystrophy
Mechanical
  Eyelid tumors
  Cicatricial processes (ocular cicatricial pemphigoid, Stevens-Johnson syndrome)
  Dermatochalasis
  Brow ptosis
  Floppy eyelid syndrome
Pseudoptosis
  Enophthalmos (orbital fracture, scirrhous tumor)
  Contralateral lid retraction (thyroid eye disease)
  Contralateral proptosis
  Hypotropia
Irritative (secondary to conditions affecting the ocular surface)
  Giant papillary conjunctivitis second to contact lens wear
  Squinting or guarding from ocular surface disease (corneal erosion, abrasion, infiltrate, ulcer)
Iatrogenic
  Botulinum toxin injection
  Following cataract surgery or trabeculectomy
Traumatic (can be neurogenic, myogenic, or aponeurotic)