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Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

The diagnosis of Acute 6th Nerve Palsy should not present any difficulties :

1.There is marked limited abduction of the paretic eye .

2.The greatest esotropia occurs on attempts to abduct the paretic eye .

3. Most patients will complain about double vision in lateral gaze and assume a compensatory face turn in the direction of the paralyzed muscle.

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy ) After Recovery

Several recent studies have addressed that in non-traumatic unilateral cases 78% experienced spontaneous recovery by 24 weeks

See the videos of this patient and how he acquired almost full abduction of the Lt paretic eye after only one month and full recovery within 4 months

Acute Lt 6th Nerve Palsy

One Month Later

4 Months later Full recovery

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

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Acute 6th Nerve Palsy ( Abducent Nerve Palsy ) The diagnosis of Acute 6th Nerve Palsy should not present any difficulties : 1.There is marked limited abduction of the paretic eye . 2.The greatest esotropia occurs on attempts to abduct the paretic eye . 3. Most patients will complain about double vision in lateral gaze and …

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About Dr.Gamal Sobhy

Dr.Gamal Sobhy
Professor of ophthalmology. Head of Strabismus Unit Memorial Institute of Ophthalmic Research Egypt.

One comment

  1. 6th nerve palsy here – bifocal diplopia. People with two heads, four arms and two sets of legs was fairly amusing, but driving was a pain as was ‘Is that a real car coming towards me’? Problem lasted for three years odd, only relieved after virtually loosing sight in one eye – NTG, classic Flammer Syndrome. At least no more wearing those evil prism specs !

    Bifocal Diplopia is quite difficult to put up with. But as I gradually lost the sight in my right eye so did the diplopia desist, and now virtually disappeared entirely, as only have a little peripheral sight left in the right eye

    MEC – France

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