ABSTRACT

ABSTRACT: Introduction: A male patient, age 73, with changing diplopia visited our orthoptic department. Upon each visit the ocular motility pattern suggested a different diagnosis. Methods: Full ophthalmologic and orthoptic examination were performed. Several blood tests and CT-scan of the orbit were performed. Results: In three years the ocular motility changed every orthoptic visit. Further examination did not lead to a clear diagnosis. Conclusion: Sometimes the orthoptic patient is a puzzle. In this case the diagnosis is most likely ocular Myastenia Gravis.