Effect of Cool Pack Test in Myasthenic Diplopia (Colour Image)
Effect of Cool Pack Test in Myasthenic Diplopia (Colour Image)
Male subject, 85 years of age, intermittent diplopia, ophthalmoplegia, and blepharoptosis; BCVA RA 0.4, LA 0.4; IOP RA 15 mmHg, LA 18 mmHg.
A male patient (85 years of age) with a recent onset of diplopia, blepharoptosis and ophthalmoplegia had the cold pack applied for 5 minutes on both eyelids. The "ice test", involving orbital cooling through the application of a cold pack over closed eyelids, is a reliable clinical test for the diagnosis of ocular myasthenia gravis. We found a positive response to the cold pack test proved to be a reduction in blepharoptosis in primary position.
Schumacher, Jaqueline, Dr.med., Augenklinik, Universität Erlangen-Nürnberg, Erlangen, Germany; Gusek, Gabriele, Prof. Dr. med., Augenklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany; Lemm, Daniela, , Augenklinik, Friedrich-Alexander Universität Erlangen, Erlangen, Germany; Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander Universität Erlangen, Erlangen, Germany
