GB is a 52-year-old woman with a history of chronic sinus disease who visited her daughter whom she had not seen for almost a year and was noted to have a left eye that “was pushed way off to the left.” The patient had not been aware of this but did notice it after her daughter’s comments. She presented to an ophthalmologist who measured lateral displacement of the left eye of 5 mm compared to the right. This measurement was performed by placing one end of a millimeter ruler on the middle of the nose on the same horizontal level as the center of the pupil. This measurement was then repeated for the opposite eye. The patient had a full range of motility and had experienced no diplopia.
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