In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper lid range of 12 and 11. MRD was -1 and 4. Facial sensation was intact. Hertel with a base of 94 was 11.5 and 10. Pupils were 7.5 and 3.5. Motility revealed limitation in elevation and adduction on the right. Maddox rod demonstrated an exodeviation increasing on left gaze with a left hyper increasing on up gaze. Funduscopic examination revealed a view of 20/20 bilaterally with a cup-to-disc ratio of 0.1 and 0.2 with minimal hyperopic astigmatism. Imaging studies revealed a reason for her cranial nerve III palsy. A procedure was carried out.
Relation is Part of
NANOS Annual Meeting Frank B. Walsh Sessions; 2016
Steven Newman, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes