PMC6364110_01
Clinical photograph of 9 cardinal gazes at presentation.
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fig1
Extra ocular movements were full and free in both the eyes with inferior oblique over action in left eye (Figure 1).
MRI head and orbit coronal section at the level of the midorbit and apex showing absence of any granulomatous lesions nor any extraocular muscle thickening (ruling out myositis or orbital pseudotumor).
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fig2
Gadolinium enhanced MRI of head and orbit was normal, neither any inflammatory lesions in the orbit or the cavernous sinus nor any demyelinating plaques in the periventricular areas (Figures 2 and 3).
MRI head and orbit at the level of the midorbit and apex showing absence of any granulomatous lesions nor any extraocular muscle thickening (ruling out myositis or orbital pseudotumor).
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fig3
Gadolinium enhanced MRI of head and orbit was normal, neither any inflammatory lesions in the orbit or the cavernous sinus nor any demyelinating plaques in the periventricular areas (Figures 2 and 3).
Clinical photograph of patient after 4 weeks of 1 mg/kg oral steroid.
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fig4
Oral steroids were gradually tapered off by 10 mg per week and weekly follow-up was done (Figure 4).