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The astrologist's posture is characterised by retroflexion of the neck combined with downward gaze and is a common compensation for severe bilateral ptosis. The term was probable first described by Sir Jonathan Hutchinson although references to his original publication are lacking.1 Although the term astrologist's posture is not widely used, we propose that it can very helpful in differentiating between two of the commonest types of adult onset ocular …
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