1. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO
CASE PRESENTATION
LIONEL KOWAL

2. 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

3. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

4. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

5. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

6. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

7. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

8. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO
Photo Essay
Archives 2/2002
Complications of Miragel

9. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

10. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

11. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

12. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO
Then: Case 2
RH 16, restricted downgaze

13. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

14. INCOMITANT VERTICAL DIPLOPIA IN A 75 YO

15. 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Withdrawn early 90’s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