March 31, 2020; 94 (13) Resident & Fellow Section Anfei Li, Anika Tandon, Apostolos J. Tsiouris, Marc J. Dinkin, Cristiano Oliveira First published March 9, 2020, DOI: https://doi.org/10.1212/WNL.0000000000009181 A 54-year-old woman presented with a 30-year history of worsening left blepharoptosis. Neuro-ophthalmic examination was significant for blepharoptosis, limited levator function, and supraduction in the left eye with left hypotropia, and normal pupils without diplopia.