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2004 Series -  July 6, 2004 Lecture 26 of 50  NEXT»

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This child is now one and a half years old.  She was noted to have an exodeviation at birth.  This continued as shown in pictures at age eight months and at present this child is in good health.  The family history is negative for strabismus.

1.  The most likely diagnosis is: 
 


a. 
Duane syndrome, class III
b.  III nerve palsy
c.  c
ongenital exotropia
d.  none of the above

2.  Treatment should be:
 
a.  delayed until age 5 years
b.  carried out now
c.  delayed indefinitely because these children improve spontaneously 

d.  withheld until the "orthoptic age"

3.  A logical treatment choice is: 
 
a.  bilateral lateral rectus recession appropriate for the angle
b.  a recession/resection procedure of one eye appropriate for the angle
c.  either a or b
d.  none of the above


For answers to the above, click here

 


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