Can he fix it? Yes, he can!
BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c6645 (Published 08 December 2010) Cite this as: BMJ 2010;341:c6645- Kelly Weston, OST21,
- Kate Bush, OST42,
- Farid Afshar, specialist registrar3,
- Steven Rowley, consultant ophthalmologist2
- 1Royal Hampshire County Hospital, Winchester SO22 5DG, UK
- 2Royal Bournemouth Hospital, Bournemouth, UK
- 3Moorfields Eye Hospital, London, UK
- weston.dr{at}gmail.com
Case report
A 68 year old woman presented with intermittent diplopia lasting a few minutes precipitated by left gaze. Best corrected visual acuities were 6/9 right and 6/36 left. Initial examination showed only a dense left cataract, which was removed, improving vision to 6/9. Unfortunately her symptoms continued. Her diplopia was elicited during orthoptic review, showing a left exotropia, with updrift, measuring 40 prism dioptres. There was limitation of adduction and depression of the left eye. Imaging showed no …
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