A 44-year-old male presents with a history of exotropia of the left eye since birth. His only other ocular history is myopia for which he wears glasses (-2.50 OU). He has no history of prior eye surgery and is in good health, with no significant past medical history. On examination, his corrected acuity is 20/25 (6/7.5) right and 20/40 (6/12) left. On examination, you notice that he adopts a face turn to the right of approximately 20 degrees when fixating on objects. With this anomalous head posture, his exotropia measures 35 prism diopters (PD) with distance fixation and 25 PD with near fixation. When forced into the primary position, his exotropia is larger, measuring more than 50 PD with distance fixation and 45 PD with near fixation.
Very interesting case with detailed and comprehensive explanations
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Thank you
Really a very interesting case.
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Interesting case with excellent explanation
Thanks
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How to retreive all previous quizes ?
Dear Azza,
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Nice case with nice discussion.
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Nice case
Rare case
Great and interesting tips
Thank you.
Type IV is new information.
Thank you
Thank you, this condition was described by von noodron as a isolated medial rectus palsy, synergistic divergence squint
Very interesting case, thanks for sharing
Great quiz. It was quite educative
Thank you
Very nice case for studies
Very interesting synergistic divergence case!! Thanks!
Very interesting case I just ask what could be ideal treatment for this case
Hello,
I had one similar case, and desinserted the lateral rectus and attached it to the periosteum using a non-absorbable suture. I also ressected the medial rectus. It worked well.
please do conduct more quizzes like this thank you
Good quiz
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Excellent Case
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Great quiz
Learnt something new
It was certainly very informative…
Thank you
I have knowledge and skills about the topic.
May I asked the support of desktop or portable computer for more studying and able to access learning materials and to hold online meetings
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