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2005 Series -  March 1, 2005 Lecture 44 of 52  NEXT»

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This 16-year-old patient had resection of the right medial rectus and recession of the right lateral rectus for intermittent exotropia.  Immediately after surgery he appeared as shown above.  This is a new finding.  He had no limitation of upgaze before the surgery.

1.  The findings in this patient suggest a diagnosis of:  
 

a. acquired Brown syndrome
b.

Duane syndrome

c. double elevator palsy
d.  blow out fracture

2.  A likely cause of this limitation of upgaze after surgery is:  
 

a. superior rectus palsy
b. trochlear dislocation
c. inferior oblique inclusion
d.  acute trochleitis

3.  The most effective management of this condition is:
 
a. nothing now; just wait and observe
b. oral steroids
c. base-up prism right lens
d.  surgery

For answers to the above, click here on or after March 8, 2005.


Lecture 44 of 52 «Previous Lecture   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52    Next»
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