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Orbital metastases are a rare manifestation of systemic malignancies, most commonly originating from the breast or lung in adults. Not infrequently there is not any diagnosis of cancer at the time of presentation with orbital metastatic disease. This is a case of a 62-year-old man whose initial presentation of metastatic small cell lung cancer was left upper lid ptosis and hypoglobus.doi:10.15324/vpa.v13i2.197 doaj:910e1d57cdd24aea91980969aa2ad3ae fatcat:ijpdujx5z5catjx56ku57d6n5i