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2007 Series : March 6, 2007

December 25, 2007  |  December 18, 2007  |  December 11, 2007  |  December 4, 2007  |  November 27, 2007  |  November 20, 2007  |  November 13, 2007  |  November 6, 2007  |  October 30, 2007  |  October 23, 2007  |  October 16, 2007  |  October 9, 2007  |  October 2, 2007  |  September 25, 2007  |  September 18, 2007  |  September 11, 2007  |  September 4, 2007  |  August 28, 2007  |  August 21, 2007  |  August 14, 2007  |  August 7, 2007  |  July 31, 2007  |  July 24, 2007  |  July 17, 2007  |  July 10, 2007  |  July 3, 2007  |  June 26, 2007  |  June 19, 2007  |  June 12, 2007  |  June 5, 2007  |  May 29, 2007  |  May 22, 2007  |  May 15, 2007  |  May 8, 2007  |  May 1, 2007  |  April 24, 2007  |  April 17, 2007  |  April 10, 2007  |  April 3, 2007  |  March 27, 2007  |  March 20, 2007  |  March 13, 2007  |  March 6, 2007  |  February 27, 2007  |  February 20, 2007  |  February 13, 2007  |  February 6, 2007  |  January 30, 2007  |  January 23, 2007  |  January 16, 2007  |  January 9, 2007  |  January 2, 2007

To see views enlarged, click on the individual pictures...

This 10-year-old girl had undergone bimedial rectus recession for congenital esotropia at age 2 years.  Over the past several years she has developed a moderate exodeviation.  Her vision is OD 20/40 and OS 20/20.  Refraction is OD +1.00 sph and OS 0.75 sph.  Her media are clear and the fundus is normal in each eye.

1.  The most important feature(s) present in this girl's presentation is (are):  
 

a. widened palpebral fissure on the right
b. limited adduction in the right eye
c. exotropia
d.  none of the above
e. all of the above except (d)

2.  A likely cause of the above is:   
 

a. a slipped right medial rectus muscle
b. a tight right lateral rectus muscle
c. an excessive recession of the left lateral rectus muscle
d.  combined oblique dysfunction in the right eye hampering adduction
e. none of the above

3.  Appropriate management in this case would be: 
 
a. no intervention
b. weakening of both oblique muscles in the right eye
c. recession of the lateral rectus muscle
d.  resection and advancement of the right medial rectus muscle
e. none of the above

For answers to the above, click here on or after March 13, 2007.

 

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