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2005 Series : April 26, 2005

December 27, 2005  |  December 20, 2005  |  December 13, 2005  |  December 6, 2005  |  November 29, 2005  |  November 22, 2005  |  November 15, 2005  |  November 8, 2005  |  November 1, 2005  |  October 25, 2005  |  October 18, 2005  |  October 11, 2005  |  October 4, 2005  |  September 27, 2005  |  September 20, 2005  |  September 13, 2005  |  September 6, 2005  |  August 30, 2005  |  August 23, 2005  |  August 16, 2005  |  August 9, 2005  |  August 2, 2005  |  July 26, 2005  |  July 19, 2005  |  July 12, 2005  |  July 5, 2005  |  June 28, 2005  |  June 21, 2005  |  June 14, 2005  |  June 7, 2005  |  May 31, 2005  |  May 24, 2005  |  May 17, 2005  |  May 10, 2005  |  May 3, 2005  |  April 26, 2005  |  April 19, 2005  |  April 12, 2005  |  April 5, 2005  |  March 29, 2005  |  March 22, 2005  |  March 15, 2005  |  March 8, 2005  |  March 1, 2005  |  February 22, 2005  |  February 15, 2005  |  February 8, 2005  |  February 1, 2005  |  January 25, 2005  |  January 18, 2005  |  January 11, 2005  |  January 4, 2005

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This 7-year-old girl was presented by her family who noticed her right eye did not go up fully when she looks up and to the left.  Visual acuity is 20/20 in each eye.  Refraction is OD +.50, OS +.50.  She has good stereo acuity being able to fuse to 40 seconds with the Titmus Vectograph.  She does see double looking up and to the left, but can avoid this.  This girl is tall for her age; her father is over 6 feet tall and her mother is of average height.

1.  The diagnosis in this patient is:  
 

a. Duane syndrome
b. fibrosis syndrome
c. Brown syndrome
d.  double elevator palsy

2.  The best treatment would be:   
 

a. right superior oblique tenectomy
b. spacer placement in the right superior oblique tendon
c. exploration of the right inferior oblique
d.  none of the above

3.  The most likely course for this patient is: 
 
a. she will gradually be less bothered by this condition
b. no surgery will be required for the motility deficiency
c. having tall parents is a positive sign
d.  all of the above

For answers to the above, click here on or after May 3, 2005.

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