Older woman presents with new-onset diplopia

A 78-year-old woman with a medical history of hypertension, hyperlipidemia, diet-controlled type 2 diabetes, gout, osteopenia and herpes zoster presented with a 4-day history of new-onset constant binocular double vision.
The patient had binocular double vision that varied between horizontal and vertical. She denied both amaurosis and vision loss. Her ocular history included a lamellar hole in the right eye and cataract surgery in the right eye. The patient was a daily cigarette smoker and drank alcohol on occasion.
On presentation in the emergency room for a suspected right third (Read more...)

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