Eye Movements Flashcards
When asking a patient to follow your finger to their left you notice that their right eye is not tracking to look medially. What palsy are they suffering from?
Right Medial Rectus palsy
If a patient is struggling to elevate their right eye in primary gaze (looking directly forwards) and when the eyes are looking right what palsy does this patient suffer from?
Right Superior Rectus palsy
A patient presents with a dilated left pupil, a slightly droopy left eyelid and the same eye is a little depressed and pointing a little laterally. What nerve is likely to have been damaged?
Left Cranial Nerve III (oculomotor)
A patient presents with a reduced ability to depress their left eye particularly when it looks medially. What nerve palsy are they likely to be suffering from?
Left CN IV (trochlear) palsy
A patient struggles to get their left eye to look laterally on examination of eye movements. Give two potential reasons this might be happening?
Left CN VI damage OR Left Lateral Rectus palsy
A patient presents with ptosis of the left eyelid, and has very limited elevation and medial movement of the left eye. Both pupils are undilated. What is likely to have occurred?
Full left CN III palsy with pupillary sparing
When testing the eye movement of a young lady you notice that her right eye is slightly elevated in primary gaze and that she cannot look down with that eye when in a lateral gaze. What is likely to be the problem?
Right Inferior Rectus palsy
A gentleman presents with difficulty looking upwards with his right eye when in a medial gaze (looking left). What do you suspect is the problem?
Right Inferior Oblique palsy
On examination of eye movements with a female patient you discover that as well as complete ptosis and pupil dilatation of the left eye she has no ability to adduct, elevate or depress her left eye in primary gaze. What is she suffering from?
Left CN III Full palsy with pupillary involvement
