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Arch Ophthalmol. 2002;120:990-991.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case

A 78-year-old man was referred to our clinic for evaluation of bilateral ptosis that developed over the previous 2 months. His ocular history was remarkable for cataract extraction and intraocular lens implantation in both eyes 1 year prior to initial examination. His medical history was significant for chronic lymphocytic leukemia (CLL) diagnosed 7 years earlier during a laboratory workup for anemia (hematocrit, 22.1%) and lymphocytosis (white blood cell count, 150 x 10³/µL), which was detected on results of routine blood work. There was no lymphadenopathy or splenic enlargement at the time of diagnosis, consistent with stage 0 CLL. He did not require treatment.

At initial examination, his visual acuity was 20/30 OU. The examination findings were notable for normal pupils, severely limited ductions in all directions in both eyes, and bilateral ptosis (Figure 1). Levator function was 2 mm OU. Palpation revealed marked resistance to retropulsion in . . . [Full Text of this Article]

Comment
Corresponding author and reprints: Peter A. D. Rubin, MD, Department of Oculoplastics, Orbit, and Cosmetic Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA 02114. (e-mail: eye_plastics@meei.harvard.edu).

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