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A 25-month-old girl with vision loss, nystagmus, and anomalous head posture
Digital Journal of Ophthalmology 2009
Volume 15, Number 1
February 23, 2009
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Joel Metzger, MD | Senior Flight Surgeon, Training Air Wing Six, Pensacola, FL, USA
Richard Hertle, MD | Children's Hospital of Pittsburgh, Pittsburgh, PA, UPMC Eye Center, Eye & Ear Institute, Pittsburgh, PA, and University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
John Avallone, MD | Ophthalmology Associates of Greater Annapolis
Edward Cheeseman, M.D. | University of South Carolina School of Medicine, Charleston, SC and Uniformed Services University of the Health Sciences, Bethesda, MD, USA
History
A 25-month-old, Caucasian girl presented for evaluation of high myopia, decreased vision, new onset nystagmus and anomalous head posture (AHP). The parents noted decreased vision, nystagmus, photophobia, nycloptia and AHP 8-10 weeks prior to examination. The patient had an uncomplicated prenatal and birth history with subsequent normal growth and development. She was healthy other than a history of uncomplicated otitis media. There was no history of trauma, recent illness or new medications. Her family history was notable for myopia, amblyopia, and a paternal cousin diagnosed with “optic neuropathy” at age 3 years.
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