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The negativity of both tests had a 94% (95% CI 87-10 negative predictive value. Comparison of the areas under the curve showed no differences in the diagnostic accuracy of IPT, SF-EMG, and their combinations. IPT and SF-EMG have similar diagnostic accuracy in patients with OM presenting with ptosis. The negativity of both tests strongly suggests another diagnosis. This study provides Class I evidence that both the IPT and SF-EMG accurately identify patients with OM. This study provides Class I evidence that both the IPT and SF-EMG accu