2. History:
8 yrs old female
Healthy, full term ,no history of squint.
First visit:
VA sc 20/30 20/30
CT sc
Near Alt decompensating exophoria 12 PD
Dist. Ortho
4. EOM:
OD: Full
OS:
•limited abduction - grade 3 (no movement)
•limited adduction- grade 1 (very little inhibition)
•upshoot (os) on attempted adduction
•narrowing of the palpebral fissure on attempted
adduction & widening with abduction.
A pattern
5. Retinoscopy:
+3.50 – 1.50 x 180
+2.50 – 1.00 x 25
PMT:
+0.50 – 1.00 x 05 20/25
+0.50 – 1.00 x20 20/20-1
6. Diagnosis:
Duane syndrome – type 2 (left eye)
Alternating decompensated exophoria
Hyperopic astigmatism
Management:
Rx were given.
PTO (OS) 6 hrs/day
F/Up 3/12
After 6 months:
VA cc 20/20 20/20
CT cc ortho D & N
