Enophthalmos and diplopia in orbital floor fractures.
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From a perspective of 34 years' experience of using the clock method to examine ophthalmo-plegia, the author assesses the utility of this method and discusses the ensuing principles. He gives a thorough analysis of the principle which states that if the real image traverses a circular (or semi-circular) path then the apparent image moves in the same time along an elliptic (or semi-elliptic) path. According to his calculations the velocity of the apparent image is greater than the velocity of the real image and proportional to the magnitude of the disparation. The velocity of the apparent image is also important in the process referred to by earlier authors as "diplophobia". The present author gives his own simplified formula for the calculation of the circumference (or surface area) of the ellipse.
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Sarcoid is an idiopathic multisystem non-caseating granulomatous disease with protean clinical manifestations. In the eye, the common sites of involvement are the skin of eyelid, conjunctiva, uveal tract, retina, optic nerve and lacrimal gland.
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A 71-year-old man was thirsty, had bone pains and a double vision. Multiple myeloma with hypercalcemia was diagnosed. One tumour in the clivus turned out to be compressing the left N. abducens.
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