A.M. NEW VERTICAL

KOWAL

• AM, DOB 3/98.• July 2005:• closes one eye to read ‘for years’. Has been doing CVS computerized CI exercises X17 [out of a total of

85] for near diplopia. Notices diplopia on R gaze. • Has incomitant LH and CI. NPC 18-20cm. • LH: R gaze 12, primary 9, L gaze 7.• 80” stereo. Trial of small BD LE to assit in reading. • December 2005: Wants surgery. NPC 12-15cm. • LH: R gaze 17, primary 19, L gaze 13. • Jan 2006: LIO Parks’ recessin. • Day 9: NPC 7.5cm. LH : R gaze 4, primary 6, L gaze 3. 20” strereo. • May 2008:• Recurrence of symtpoms last 6 months. NPC X 3: 12, 16, 18 cm• L hypo: R gaze= primary = left gaze =2 . LIO 4-, LSR 2-, LIR 3-. Given small . • February 2009.• Not wearing glasses. • L hypo: Right gaze 8, primary 6, L gaze 7. NPC 10cm. stereo 40”• Problem: late onset of progressive hypotropia after Parks’ IO recession.