case_images: PMC4449988_01
case_images: A composite picture showing the nine position of gaze. 1A shows the marked limitation of elevation of the left eye when she tried to look up to the right, while 1C shows full elevation of the left eye when looking up to the left
case_images: PAMJ-20-56-g001.jpg
case_images: PMC4449988_01_PAMJ-20-56-g001.jpg
case_images: F0001
case_images: There was about 10 prism diopters of left hypotropia with no horizontal deviation in the primary position (Figure 1) and she did not have an abnormal head posture. Examination of the ocular motility elicited marked limitation of elevation of the left eye when looking to the right, while elevation of the same eye was almost full on left gaze (Figure 1).