"My eyes are turned outside"

作者：Al Zubidi Nagham; Chevez Barrios Patricia; Foroozan Rod^*; Bhatti M Tariq

来源：Survey of Ophthalmology, 2014, 59(3): 354-360.

DOI：10.1016/j.survophthal.2013.10.001

• ophthalmoplegia
• giant cell arteritis
• diplopia
• exotropia
• fourth nerve palsy

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.

• 出版日期2014-6