The prisoner's dilemma.(Diagnostic Quiz)(Case study)(Brief article)

Review of Optometry, May, 2006 by Gurwood, Andrew S.

History A 35-year-old black male presented to the clinic with a chief complaint of diplopia for the past six months. [ILLUSTRATION OMITTED] He said the problem began the day he was released from solitary confinement in prison. He described the diplopia as mostly horizontal with some episodes containing a vertical component.

The frequency of the diplopia was intermittent, it occurred at distance and near, and it worsened at the end of the day. The patient said he believed the diplopia was due to inactivity from the incarceration. He added that most of his muscles were weaker since being released from his incarceration. He did not report any issues with breathing or swallowing. He denied taking medication and reported no allergies of...

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