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This 7-year-old girl was presented by her family who noticed her right eye did not go up fully when she looks up and to the left.  Visual acuity is 20/20 in each eye.  Refraction is OD +.50, OS +.50.  She has good stereo acuity being able to fuse to 40 seconds with the Titmus Vectograph.  She does see double looking up and to the left, but can avoid this.  This girl is tall for her age; her father is over 6 feet tall and her mother is of average height.

1.	The diagnosis in this patient is:
	a. Duane syndrome b. fibrosis syndrome c. Brown syndrome d.  double elevator palsy
2.	The best treatment would be:
	a. right superior oblique tenectomy b. spacer placement in the right superior oblique tendon c. exploration of the right inferior oblique d.  none of the above
3.	The most likely course for this patient is:
	a. she will gradually be less bothered by this condition b. no surgery will be required for the motility deficiency c. having tall parents is a positive sign d.  all of the above

For answers to the above, click here on or after May 3, 2005.