| Lid Retraction 
      DefinitionUpper lid margin at or above superior limbus.
 DifferentialsContralateral ptosis
 CausesThyroid eye disease (#1 possibility)
 Retrobulbar Space Occupying Lesion (Optic Nerve Glioma, Extraconal mass, 
      etc.)
 Unopposed levator action due to facial palsy
 Aberrant regeneration of CN III
 Marcus Gunn jaw winking
 Dorsal Midbrain Syndrome (upgaze paralysis)
 Parkinsons
 Uraemia (Kidney Disease)
 Congential (Duane's retraction syndrome, Down's syndrome, transient 'eye 
      popping' in normal infants)
 Primary WorkupThyroid Panel (TSH, T3, T4 - Thyroid)
 
 Secondary Workup (If primary results all negative)
 CT (Retrobulbar Space Occupying Lesion)
 MRI (Dorsal Midbrain Syndrome)
 BUN/Creatinine levels (Kidney Disease)
 Neuro consult (Parkinsons)
 
 
 
 
 
 
 
 
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