Pre-Op Exam and VIDEO




elevation -3.5 OU abduction OD -3, adduction OS -4 XT' 70, marked,bilateral ptosis adduction OD -4, abduction OS -3 depression -3 OU

Head position: turn (L) ++ (fixation with OD)

Marked bilateral ptosis; Frontalis weakness OU

Paralytic facies, bilateral.

VIDEO: Head turn (L), marked bilateral ptosis, weak frontalis OU, bilateral ophthalmoplegia, slow saccades, paralytic facies, large XT

Diagnosis

Chronic progressive external ophthalmoplegia (CPEO)

(R) medial rectus resect 6 mm, (R) lateral rectus recess 7 mm

(L) medial rectus resect 6 mm, (L) lateral rectus recess 9 mm




XT small, poor elevation OU abduction and adduction -4 OU straight eyes abduction and adduction -4 OU XT small, poor depression OU

Head position: straight

VIDEO: marked limitation of horizontal eye movements; minimal vertical movement; slow saccades; straight eyes