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2008 Series : November 4, 2008

December 30, 2008  |  December 23, 2008  |  December 16, 2008  |  December 9, 2008  |  December 2, 2008  |  November 25, 2008  |  November 18, 2008  |  November 11, 2008  |  November 4, 2008  |  October 28, 2008  |  October 21, 2008  |  October 14, 2008  |  October 7, 2008  |  September 30, 2008  |  September 23, 2008  |  September 16, 2008  |  September 9, 2008  |  September 2, 2008  |  August 26, 2008  |  August 19, 2008  |  August 12, 2008  |  August 5, 2008  |  July 29, 2008  |  July 22, 2008  |  July 15, 2008  |  July 8, 2008  |  July 1, 2008  |  June 24, 2008  |  June 17, 2008  |  June 10, 2008  |  June 3, 2008  |  May 27, 2008  |  May 20, 2008  |  May 13, 2008  |  May 6, 2008  |  April 29, 2008  |  April 22, 2008  |  April 15, 2008  |  April 8, 2008  |  April 1, 2008  |  March 25, 2008  |  March 18, 2008  |  March 11, 2008  |  March 4, 2008  |  February 26, 2008  |  February 19, 2008  |  February 12, 2008  |  February 5, 2008  |  January 29, 2008  |  January 22, 2008  |  January 15, 2008  |  January 8, 2008  |  January 1, 2008

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





This 9-year-old boy has had a droopy right upper lid since birth. He frequently tilts his head back as shown in the pictures. His vision is OD 20/50 and OS 20/20. Versions and ductions are normal in both eyes. Refraction is OD -.50 +1.50 x 85 and OS +.50.

1. The most likely diagnosis for this boy is:

a. double elevator palsy
b. contralateral palsy of the antagonist
c. congenital ptosis
d. torticolis
e. none of the above

2. What is most important to know about this patient before proceeding to treatment?

a. the Bellís response and the corneal sensitivity
b. how he is doing in school
c. whether other family members are similarly affected
d. the patient's height
e. response to the Tensilon test

3. An appropriate treatment is likely to be:
a. levator resection
b. tarso/conjunctival resection
c. crutch glasses
d. frontalis suspension
e. none of the above

For answers to the above, click here on or after November 11, 2008.

 

 

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