INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

CASE PRESENTATION

LIONEL KOWAL

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

• 12/02 : 12 mo vertical diplopia

• PH: L ret det surgery 1987

• PP: XT 8, LH 20

• DG : LH 35+, UG : X 4

• LMR -7mm to medial canthus

• LIR - 6

• LSO - 7

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

• Photo Essay

• Archives 2/2002

• Complications of Miragel

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

Then: Case 2

• RH 16, restricted downgaze

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

• Miragel:

• No pores : ?safer re infection

• Introduced ’79

• Degrades 10+ yrs in vivo

• Swells 3-4 times

• Withdrawn early 90’s

• Incise over buckle & cyro