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  Indian J Med Microbiol
 

Figure 1: (a) A 44-year-old female with chronic progressive external ophthalmoplegia who has undergone bilateral frontalis suspensions for blepharoptosis with two subsequent tightenings. She requests a third tightening of her slings as progressive levator palpebrae superioris and frontalis weakness has caused recurrent ptosis that occludes her visual axes. (b) Postoperative lagophthalmos due to concurrent orbicularis oculi weakness results in exposure keratopathy, necessitating loosening of her frontalis silicone slings.

Figure 1: (a) A 44-year-old female with chronic progressive external ophthalmoplegia who has undergone bilateral frontalis suspensions for blepharoptosis with two subsequent tightenings. She requests a third tightening of her slings as progressive levator palpebrae superioris and frontalis weakness has caused recurrent ptosis that occludes her visual axes. (b) Postoperative lagophthalmos due to concurrent orbicularis oculi weakness results in exposure keratopathy, necessitating loosening of her frontalis silicone slings.