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39 year old male with diplopia on right gaze
Digital Journal of Ophthalmology 2001
Volume 7, Number 6
October 1, 2001
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Brad Wakeman, BSc. OC(C) | Room 2-133 Clinical Sciences Building, University of Alberta Hospital, Edmonton, Alberta, CANADA Ian MacDonald, MDCM FRCSC | Room 2-133 Clinical Sciences Building, University of Alberta Hospital, Edmonton, Alberta, CANADA
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| Examination | Visual Acuity: (uncorrected) OD 20/20 OS 20/25+3
Titmus stereopsis: 40 seconds arc
Prism covertest measurements:
Distance
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X6 Prism diopters
RH2 Prism diopters |
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(R.Gaze) XT35 PrismD RHT12
PrismD |
orthophoria |
orthophoria (L.Gaze) |
Head tilt right: XT 4 PrismD RHT
2 PrismD |
orthophoria |
Head tilt left: X8 PrismD |
Near X'10 PrismD
Ocular rotations: Limitation in adduction OS, worse in upgaze. Globe retraction and mild down-shoot OS on attempted adduction. Normal adducting saccades (Figure 1).
View FROM Left Side: Side gaze photos demonstrating narrowing of the palpebral fissures and globe retraction OS on gaze right (Figure 2).
Hertel expophthalmometry: Base 102 mm, OD 19 mm, OS 20 mm
Slit lamp exam: OD normal; OS old iris pigment adhesions on anterior lens capsule, anterior chamber clear and quiet, no cells or flare.
Fundus: Unremarkable OD & OS | |
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Figure 1
Ocular Rotations
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Figure 2
Side View
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Figure 3
one month Post-op
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