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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Bibliographic Details
Published in:Survey of ophthalmology 2014-05, Vol.59 (3), p.354-360
Main Authors: Al-Zubidi, Nagham, MD, Chevez-Barrios, Patricia, MD, Foroozan, Rod, MD, Bhatti, M. Tariq, MD
Format: Article
Language:English
Subjects:
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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Summary: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