A Trip Through the Wormhole

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Identifier walsh_2019_s2_c3-abstract
Title A Trip Through the Wormhole
Creator Anne R. Kao, MD
Subject Orbital Inflammation; Infection
Description The patient initially presented to me at age 19 years with a "throbbing, aching pressure" behind her right eye and swelling of the right upper eyelid. Her pain was worse in lateral gaze, although she denied diplopia. She had been prescribed 60mg of prednisone by the referring provider, which reduced the swelling but not the degree of soreness. A review of the chart indicated that she had been having similar symptoms intermittently for eight years. Her visual acuity was 20/15 in the right eye, 20/20 in the left eye. Her pupils were briskly reactive; there was no relative afferent pupillary defect. Color vision was intact in both eyes. She had -1 adduction and abduction deficits in her right eye; her ductions were otherwise full. Exophthalmometry measured the right eye as 2mm more proptotic than the left eye. There was no lid lag in downgaze and no resistance to retropulsion on either eye. The right upper eyelid was 1mm more ptotic than the left. On slit lamp examination she had episcleral and scleral injection laterally on the right eye without chemosis. The remainder of the slit lamp and fundus; examinations were unremarkable.
Date 2019-03
Language eng
Format application/pdf
Source 2019 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS 2019: Frank B. Walsh Session 2
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6wt3bbm
Contributor Primary Anne Kao, MD
Setname ehsl_novel_fbw
ID 1431961
Reference URL https://collections.lib.utah.edu/ark:/87278/s6wt3bbm
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