Acute-onset sagging eye syndrome

Abstract

A 78-year-old woman with untreated hypertension presented to the emergency department with a 2-day history of binocular diplopia, initially raising suspicion of neurological pathology. However, characteristic facial findings suggested sagging eye syndrome, confirmed by orbital magnetic resonance imaging. This case highlights the importance of clinicians paying close attention to distinctive facial features in patients with acute binocular diplopia.