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This 3-year-old boy was noted by his mother to have a "funny" or unusual appearance to his eyes when looking up.  Visual acuity is 20/20 in each eye.  Cycloplegic refraction is +.50 in each eye.  He is able to fuse the stereo fly and 3 of 3 animals on the Titmus test.  Versions show limitation of elevation of the left eye in adduction and an exodeviation in upgaze.  The remainder of the eye examination is normal.  A slight left head tilt with chin elevation is present in casual seeing.

1.	The most likely diagnosis in this case is:
	a. inferior oblique palsy b. Brown syndrome c. double elevator palsy d.  idiopathic torticollis
2.	The following is important in planning treatment for this patient
	a. age of the patient b. the fusion status of the patient c. primary position alignment d.  all of the above
3.	If treatment were undertaken for this strabismus, the most likely choice would be
	a. left inferior oblique tuck b. left superior rectus resection c. left superior oblique weakening d.  right superior rectus recession

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