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A 77 year old man with diplopia
Digital Journal of Ophthalmology 2004
Volume 10, Number 11
November 19, 2004
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Pieter Gouws | Bristol Eye Hospital
Anthony G Quinn | West of England Eye Hospital
Ancillary Testing
Radiographic Studies
Chest X-ray – Normal
Computed tomography scanning of the orbits was performed and revealed an isolated segmental enlargement of the inferior rectus muscle in the right eye.


Pathology
TSH: Normal
Thyroid antibodies - Normal
Erythrocyte sedimentation rate – Normal
C-reactive protein (CRP) - Normal
Full blood count – Normal
Anti-Neutrophilic Cytoplasmic Antibodies (ANCA) – Normal
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Figure 3a
CT scan demonstrating normal size inferior rectus

Figure 3b
Enlarged inferior rectus in the posterior orbit