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A 20-year-old woman with abnormal eye movements
Digital Journal of Ophthalmology 2021
Volume 27, Number 1
January 4, 2021
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Vivian Paraskevi Douglas, MD, DVM, MBA | Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts Homer H. Chiang, MD | Department of Ophthalmology, UT Health San Antonio, San Antonio, Texas Konstantinos A. A. Douglas, MD, DVM, MBA | Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts Tavé Van Zyl, MD | Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts Nurhan Torun, MD | Division of Ophthalmology, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
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| Treatment | Cavernous malformations are typically managed with surgical resection or observation with serial MRIs. Indications for surgical resection include progressive neurological deficits, recurrent hemorrhage, proximity to the pial surface, recurrent symptomatic episodes, and compression of surrounding brain tissue.(1) Our patient elected to proceed with neurosurgical resection 2 days aft her initial presentation to our department.
In addition, lubricating drops, four times a day, lubricating ointment at bedtime, and humidifiers were recommended because of underlying exposure keratopathy. Two weeks after surgery, however, she had an esotropia of 6 prism diopters in primary position at distance, without tropia at near. Fresnel stick-on prism lenses were prescribed. Overall, no improvement on either the motility or facial nerve function was noted postoperatively. | |
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