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A 42-year-old woman presented with right exotropia after having undergone orbital surgery to remove a hemangioma. Her axial MRI is shown.

1.	The most significant finding in this study is:
	a. loss of orbital fat b. exotropia c. tortuosity of the optic nerve in one eye d. no inferior rectus muscles seen in one eye e. no medial rectus attached to the globe in one eye
2.	The next thing to do for a patient with an image like this is:
	a. begin stem cell therapy b. start alternate patching c. discuss with her the need for surgery d. explain the need for near point exercises e. none of the above
3.	A logical treatment plan for this woman would be:
	a. intraorbital stem cell implantation b. glasses with a frosted lens over one eye c. prism d. Botox to the lateral rectus muscle and vertical rectus transfer to the medial rectus insertion site e. none of the above

For answers to the above, click here on or after April 3, 2012.