|
2004 Series - June 29, 2004
|
Lecture 27 of 50 NEXT»
|
To see views enlarged, click on the individual pictures...
|
This 68-year-old woman developed a left esotropia and hypotropia beginning four years ago. She was operated on twice for a diagnosis of VI nerve palsy. Neither surgery procedure had a noticeable beneficial effect. At the time of onset of the strabismus, the patient noticed some weight loss and she reported being nervous. |
| 1. |
The most likely diagnosis is: |
| |
a. thyroid myopathy
b. late onset esotropia
c. VI nerve palsy
d. Gunderson's syndrome
|
| 2. |
A useful additional examination would be: |
| |
a. CT or MRI of the orbit with serial coronal views
b. forced ductions
c. an endocrine work up
d. all of the above
|
| 3. |
Treatment would include: |
| |
a. eye muscle surgery emphasizing the freeing of restrictions
b. steroid therapy
c. antibiotic therapy
d. none of the above |
For answers to the above, click here:
|
Print this Page
