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7 year old girl with a left face turn and binocular diplopia
Digital Journal of Ophthalmology 1997
Volume 3, Number 13
February 18, 1997
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Mitchell S. Fineman, M.D. | Wills Eye Hospital, Philadelphia, PA
Joseph Calhoun, M.D. | Wills Eye Hospital, Philadelphia, PA
Vision: 20/20 OU (letters)
Pupils: Equal, briskly reactive to light. No RAPD
External: 40 degree left face turn with chin up positioning.
Motility: 8 prism diopters of right hypotropia in primary gaze which increased to 12 prism diopters on left gaze and decreased to 3 prism diopters on right gaze. Limitation of elevation in adduction was noted with minimal to no elevation deficit in abduction. A 10 prism diopter exotropia was noted in upgaze only.
Stereo: 40 seconds of stereo with chin up
Cycloplegic refraction: +0.75 sphere ou
Slit lamp examination: Normal OU
Extraocular Movements: Normal OU
Fundus examination: Normal OU