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CLINICAL QUIZ
Year : 2010  |  Volume : 3  |  Issue : 1  |  Page : 41-42 Table of Contents   

A 22-year-old lady with squint


Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Oman

Date of Web Publication18-Feb-2010

Correspondence Address:
Beena Harikrishna
Department of Ophthalmology, Sultan Qaboos University Hospital, 123/Al-Khod,PO Box 35, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.60024

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How to cite this article:
Harikrishna B, Cooymans P, Ganesh A, Al-Zuhaibi S. A 22-year-old lady with squint. Oman J Ophthalmol 2010;3:41-2

How to cite this URL:
Harikrishna B, Cooymans P, Ganesh A, Al-Zuhaibi S. A 22-year-old lady with squint. Oman J Ophthalmol [serial online] 2010 [cited 2020 Feb 22];3:41-2. Available from: http://www.ojoonline.org/text.asp?2010/3/1/41/60024

A 22-year-old lady presented with squint of left eye (OS) since four months. She also complained of decrease in vision and instability while walking since the past one year. She had no complaints of diplopia. Best corrected visual acuity was OD 0.5; OS 0.05.

Ocular motility is shown in [Figure 1]. End-gaze Nystagmus was observed. While anterior segment exam was unremarkable, fundus evaluation showed temporal pallor of the optic discs (OS > OD). Cup-disc ratio was 0.2 with normal macula in both eyes.

MRI brain was obtained [Figure 2] which showed multiple demyelinating lesions.


   Questions Top


  1. What are the findings on ocular motility examination? Is the presence of end-gaze nystagmus in this setting important? If yes, what is this clinical condition called?
  2. What is the most likely etiology in this patient?
  3. What could be the cause for the low vision?
[

Click here to view answer. View Answer



    Figures

  [Figure 1], [Figure 2]



 

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