Pre-Op Exam




elevation normal OU, XT 60 adduction OS -2 XT 50, XT' 75; bilateral ptosis: OD moderate, OS mild adduction OD -1 depression normal OU, XT 50

(R) head turn, chin-up ++(fixation with OS); balding +++

Diagnosis

Myotonic dystrophy

(R) medial resect 5 mm, (R) lateral recess 7 mm; (L) medial resect 5 mm, (L) lateral recess 6




elevation normal abduction OD -1, adduction OS -1 XT 6, XT' 18 adduction OD normal, abduction OS -1 depression normal OU

Head straight; XT' small