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Generally speaking this effect is obviously largest if the lifetimes of the dyes Fig. Page 174 пTable 11-1 Differentiation of Conditions Producing Ptosis and Extraocular Muscular Age involved Involvement Graves Disease (Thyroid- Associated Orbitopathyl Chronic Progressive External Ophthalmoplegia (CPEOI Myasthenia Any age Levator, muscles Yes Yes No Normal Buying Vidalista 40mg have generalized weakness Ptosis Yes Dysphagia, jaw weakness, limb weakness, dyspnea Any age Inferior rectus, Buying Vidalista 40mg rectus muscles Buying Vidalista 40mg age Levator, muscles No No extraocular Gravis extraocular Muscle medial Fatiguability No, unless coexistent myasthenia gravis Response to No, unless coexistent Tensilon myasthenia gravis Other eye signs External eye signs Pigmentary retinopathy, optic neuropathy Restriction if long-standing Slowly progressive Ptosis No Heart block (manifestation of Kearns-Sayre syndrome) Forced ductions Restriction Clinical course May resolve or progress Eyelids Retraction Diplopia Yes Other signs and Tachycardia, symptoms arrhythmia, may weight loss, diarrhea, heat intolerance tremor, CHAPTER 11 Special Forms of Strabismus.1999 Chen et al.

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