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Explores binocular diplopia and ptosis in an elderly man, suggesting immunotherapy effects.
An 82-year-old man presented with 4 months of fluctuating diagonal binocular diplopia and progressive bilateral ptosis. Examination in the strabismus clinic revealed variable ptosis and ophthalmoplegia in multiple gaze directions, with a large-angle esotropia and left hypotropia. What would you do next?
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Yehezkeli et al. (2026) studied this question.
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