My eyes are turned outside

Abstract A 78-year-old white woman noted progressively worsening headache, fluctuating decreased vision, dizziness, and binocular horizontal and vertical diplopia of two months duration. She had a 40 prism diopter exotropia and bilateral ophthalmoplegia. An initial temporal artery biopsy (TAB) was n...

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Veröffentlicht in:	Survey of ophthalmology 2014-05, Vol.59 (3), p.354-360
Hauptverfasser:	Al-Zubidi, Nagham, MD, Chevez-Barrios, Patricia, MD, Foroozan, Rod, MD, Bhatti, M. Tariq, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Biopsy diplopia Diplopia - diagnosis Diplopia - drug therapy exotropia Exotropia - diagnosis Exotropia - drug therapy Female fourth nerve palsy giant cell arteritis Giant Cell Arteritis - diagnosis Giant Cell Arteritis - drug therapy Glucocorticoids - therapeutic use Humans Ophthalmology ophthalmoplegia Ophthalmoplegia - diagnosis Ophthalmoplegia - drug therapy Prednisone - therapeutic use Temporal Arteries - pathology
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Zusammenfassung:	Abstract A 78-year-old white woman noted progressively worsening headache, fluctuating decreased vision, dizziness, and binocular horizontal and vertical diplopia of two months duration. She had a 40 prism diopter exotropia and bilateral ophthalmoplegia. An initial temporal artery biopsy (TAB) was negative for findings of giant cell arteritis (GCA). Empiric prednisone was continued, and a second TAB was positive for GCA. In time there was complete resolution of the ophthalmoplegia.
ISSN:	0039-6257 1879-3304
DOI:	10.1016/j.survophthal.2013.10.001