A 37-year-old married woman who had been suffering from rheumatoid arthritis for I 7 years was first seen in March, I967, complaining of intermittent diplopia for one month. When seen by the casualty officer she was found to have vertical diplopia in laevo-elevation, but surprisingly a Hess screen chart plotted the next day (Fig.
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John Sandford-Smith (1969) studied this question.
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