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.

Original languageEnglish (US)
Pages (from-to)354-360
Number of pages7
JournalSurvey of Ophthalmology
Volume59
Issue number3
DOIs
StatePublished - May 2014

Keywords

  • Diplopia
  • Exotropia
  • Fourth nerve palsy
  • Giant cell arteritis
  • Ophthalmoplegia

ASJC Scopus subject areas

  • Ophthalmology

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