INCOMITANT VERTICAL DIPLOPIA IN A 75 YO CASE PRESENTATION LIONEL KOWAL
Feb 06, 2016
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• Withdrawn early 90’s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