|Year : 2010 | Volume
| Issue : 1 | Page : 41-42
A 22-year-old lady with squint
Beena Harikrishna, Pascale Cooymans, Anuradha Ganesh, Sana Al-Zuhaibi
Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Oman
|Date of Web Publication||18-Feb-2010|
Department of Ophthalmology, Sultan Qaboos University Hospital, 123/Al-Khod,PO Box 35, Muscat
Source of Support: None, Conflict of Interest: None
|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
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|| |
- 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?
- What is the most likely etiology in this patient?
- What could be the cause for the low vision?
[Figure 1], [Figure 2]