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2004 Series -  August 10, 2004 Lecture 21 of 50  NEXT»

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This 18-year-old woman presented with a complaint of one eye being higher.  This has been present for as long as she can remember.  She has 6.00 diopters of astigmatic anisometropia and vision of OD 20/200 and OS 20/20.

1.  The physical findings in the above suggest the following:   
 

a. right hyperdeviation greater in left gaze
b. overaction of the right inferior oblique
c. lid coloboma
d.  (a) and (b)

2.  Reasonable surgery for this patient could include:  
 

a. right inferior oblique weakening
b. left superior oblique tuck
c. right superior oblique tenectomy
d.  none of the above

3.  This patient also has:
 
a. ametropic amblyopia
b. dissociated vertical deviation
c. euryblepharon
d.  falling eye

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