Question 139

You are seeing a 55 year old female with a chief complaint of vertical, binocular diplopia. Which of the following findings points to this being a more chronic issue that has recently manifested rather than a completely new onset strabismus?

Diplopia worse in left head tilt

Cataract surgery OU last month

Diplopia resolves with Fresnel prisms

Vertical fusional amplitudes of 12 prism diopters

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