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A 15-year-old male patient was referred to our eye clinic due to a sudden postoperative anisocoria after removal of a myxofibroma on the right side of the mandible on the preceding day (fig 1B). This semimalignant aggressive odontogenic tumour is rarely life-threatening, but can cause local destruction. The operation had been performed without complications.
On first ophthalmic examination, the patient exhibited a difference in pupillary widths, 2.5 mm in light and 1 mm in darkness (fig 1A). The position of the right upper lid was 2 mm higher than that of the left upper lid. Direct, consensual light reaction and the pupillary …