A 90-year-old white woman with a medical history of coronary artery disease, congestive heart failure and hypertension presented to her local eye doctor for a routine eye exam.The patient also had a history of hyperlipidemia and multiple cutaneous squamous cell carcinoma lesions (status post Mohs excision).Her chief concern was new drooping of her right upper eyelid. She said the drooping had been happening for about 6 months, with intermittent headaches and increased tearing from her right eye. Her headaches improved with Tylenol (acetaminophen, Kenvue). She denied any other visual or ocular