PMC2939409_01
Bilaterally dilated pupils with absent response to light when light is shown to the left eye.
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fig1
Bilaterally dilated pupils with absent response to light when light is shown to the right eye.
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PMC2939409_01_JOP2010-291840.002.jpg
fig2
Absent pupil response to accommodation of both eyes and normal convergence.
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fig3
Right esotropia.
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fig4
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).
Left esotropia.
JOP2010-291840.005.jpg
PMC2939409_01_JOP2010-291840.005.jpg
fig5
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).
Underaction of left eye on laevoversion.
JOP2010-291840.006.jpg
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fig6
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).
Full abduction of left eye on ductions.
JOP2010-291840.007.jpg
PMC2939409_01_JOP2010-291840.007.jpg
fig7
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).
Underaction of right eye on dextroversion.
JOP2010-291840.008.jpg
PMC2939409_01_JOP2010-291840.008.jpg
fig8
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).
Full abduction of right eye on ductions.
JOP2010-291840.009.jpg
PMC2939409_01_JOP2010-291840.009.jpg
fig9
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).
Hess chart showing bilateral fourth and sixth nerve palsy.
JOP2010-291840.010.jpg
PMC2939409_01_JOP2010-291840.010.jpg
fig10
A formal orthoptic assessment was carried out which verified the presence of bilateral fourth and sixth nerve palsy (Figures 4, 5, 6, 7, 8, 9, and 10).