logo
View this page in Chinese
Question of the Week
Video Library
Ophthalmology Books & Manuals
Cybersight Atlas of Eye Diseases
The Ophthalmology Minute
Nursing Education
Eye Care Equipment
Orbis Program Features
Free Online Journals
Ophthalmology Links
Frequently Asked Questions (FAQ)
Print ViewPrint this Page
2012 Series -  February 7, 2012 Lecture 47 of 52  NEXT»

To view in Chinese click here.
To see views enlarged, click on the individual pictures...















This 42-year-old woman was diagnosed with thyroid eye disease three years ago. She has undergone medical therapy and x-ray therapy. For the past two years she has been bothered with vertical diplopia. Visual acuity is 20/20 in each eye and her refraction is right eye +0.75 +0.5 axis 110 and in the left eye plano +0.75 axis 90. In the primary position she has approximately 20 prism diopters of right hypotropia with limitation of elevation of the right eye. The remainder of her eye examination is normal. She would like to be relieved of this double vision.

1. Thyroid eye disease like this:

a. usually resolves in 3 to 5 years
b. as a first choice would be treated with prism
c. is likely to get significantly worse
d. is likely to remain stable as presenting here
e. none of the above

2. A logical course of treatment for this patient would include:

a. patching of the left eye
b. surgery on the left eye
c. surgery on the right eye
d. surgery on both eyes
e. none of the above

3. If surgery were done on this patient, it could be complicated by:
a. a large myopic shift in the operated eye
b. anterior segment ischemia
c. lower lid ptosis
d. poliosis
e. difficulty with convergence

For answers to the above, click here on or after February 14, 2012.

 

 


Lecture 47 of 52 «Previous Lecture   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52    Next»