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2004 Series -  August 3, 2004 Lecture 22 of 50  NEXT»

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This 8-month-old girl was brought in by her parents for evaluation of one eye turning in.  The child is otherwise healthy, is not fussy and there is no family history of strabismus.

 

 

1.  The examination of this infant should include the following:  
 

a. cycloplegic refraction 
b. assessment of vision by determining if the infant fixes with either eye and does not object to occlusion 
c. evaluation of the ocular media and retina 
d.  all of the above 


2.  The clinical picture in this child suggests the following: 
 

a. pulling the skin forward between the eye could have a "straightening" effect on the alignment of the eyes
b. this is clearly a case of congenital esotropia
c. Doll's head testing is contraindicated
d.  this is the type of patient who could benefit from early surgery


3.  The likely final diagnosis in this case would be:
 
a. incipient refractive esotropia
b. Duane syndrome
c. pseudo strabismus
d.  VI nerve palsy


For answers to the above, click here:

 
 
 

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