INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

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Presentation transcript:

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DIPLOPIA IN A 75 YO Miragel: No pores : ?safer re infection Introduced ’79 Degrades 10+ yrs in vivo Swells 3-4 times Withdrawn early 90’s Incise over buckle & cyro