Dr.Moukthika Kondapalli

Prof.Raman Yenugandula

Abstract

PURPOSE:TO REPORT 3 DIFFERENT AND UNIQUE PRESENTATIONS OF EXOTROPIAS IN NEURO-OPHTHAL BACKGROUND.
METHODS:3 CASES WITH EXOTROPIA WERE STUDIED COMPLETELY WITH OPHTHALMOLOGICAL AND RADIOLOGICAL EVALUATION.
RESULTS:48/M WITH (LE)EXOTROPIA AND PTOSIS OF ACUTE ONSET ASSOCIATED WITH DIPLOPIA,PAIN AND HEADACHE,MRI CONFIRMED PSEUDOTUMOR OF ORBITAL APEX. 48/M WITH ACUTE ONSET OF DIPLOPIA FOLLOWING STROKE WITH (LE)ADDUCTION RESTRICTION – (L)INTERNUCLEAR OPHTHALMOPLEGIA.52/M WITH (RE)EXOTROPIA AND PTOSIS OF ACUTE ONSET WITH LOV OF (RE) AND DIPLOPIA,GROSS LIMITATION OF EOM,PRESENCE OF VESICULAR LESIONS ON FOREHEAD AND SCALP OF (R)SIDE–HERPES ZOSTER OPHTHALMOPLEGIA.
CONCLUSION:THOUGH EXOTROPIAS ARE COMMON IN STRABISMUS OPD, SOME EXOTROPIAS ARE ACTUALLY THE INDICATORS OF UNDERLYING NEURO-OPHTHALMOLOGICAL CONDITIONS. THIS STUDY EMPHASIZES THE IMPORTANCE OF COMPLETE AND THOROUGH EXAMINATION OF ALL EXOTROPIA CASES TO LOOK FOR OTHER ASSOCIATIONS AND TAKE HELP OF NEUROIMAGING WHEREVER REQUIRED.