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A 13 year-old girl with right eye swelling
Digital Journal of Ophthalmology 2004
Volume 10, Number 7
May 14, 2004
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Vittal Nayak | K.S. Hedge Medical Academy
Jayram Shetty | K.S. Hedge Medical Academy
Vijay Pai | K.S. Hedge Medical Academy
Vasanthi Bangera | K.S. Hedge Medical Academy
Namitha Manohar | K.S. Hedge Medical Academy
Ajith Adyanthaya | K.S. Hedge Medical Academy
Harish Shetty | K.S. Hedge Medical Academy
Examination
Distance vision OD 6/18 ph 6/12 OS 6/6 Snellen
Near vision OD N8 OS N6
Exophthalmometry OD 18mm OS 13mm

The right eye had a hypotropia and exotropia in primary position. Motility examination was notable for limitation of elevation, adduction, diplopia in all positions of gaze.

Anterior Segment examination was notable OD for dilatation of conjunctival vessels, obscuration of upper eyelid crease, and sluggish pupillary reaction. An afferent pupillary defect was not present.

Fundus examination OD demonstrated dilated, tortuous veins and retinochoroidal folds in the posterior pole.

Examination of the left eye was unremarkable.



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Figure 1.
Appearance at presentation.