incommitancy

Question 1

what are the clincal findings if 6np

Answer 1

• binoculars dip horizontal
  -worse in distance and to affected side
• sot greater at distance
• CHP- face turn toward the affected side to reduce dip
• supplies LR which abducts - eye not pulled out - turn towards nose

Question 2

cause of 6np

Answer 2

10 INJURY
FORCEp
stroke
MS
inflammatory lesion
infection

Question 3

what is the management of 6np

Answer 3

emergency ref
dvll advice
join/eliminate dip
patch 1 eye
join dip with fresnel prism

injection of botinillium toxin into overacting MR
evaluated for cardi v to exclude vascular work up

Question 4

what are the clinical findings of 4NP

Answer 4

• binoculars dip worse for near
• as SO works more at near
  -CT incyclotorsion- excyclotorsion
  depression- eye elevated- hyperT
  abduction - eye is adducted sot a

Question 5

what are the cause 4np

Answer 5

head trauma
congenital
MS
increase in ICP
tumor

Question 6

what is cause of 3np

Answer 6

• poor blood supply to 3nerve
  htn/dm/high cholesterol/smoking

tumor/aneurysm- direct pressure on 3nve

injury
occasionally inflammation in the region

Question 7

what is incommitant

Answer 7

angle of deviation changes depending on direction of gaze or which eye fixes
-congenital/acquired

Question 8

management of 3np

Question 9

clinical findings of 3np

Question 10

browns syndrome

Question 11

Dyane’s type 1 23