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Sixth nerve palsy, or abducens nerve palsy, is a disorder associated with dysfunction of cranial nerve VI (the abducens nerve), which is responsible for causing contraction of the lateral rectus muscle to abduct (i.e., turn out) the eye. [1]
During an eye examination, the presence of suppression and the size and location of the suppression scotoma may be the Worth 4 dot test (a subjective test that is considered to be the most precise suppression test), or with other subjective tests such as the Bagolini striated lens test, or with objective tests such as the 4 prism base out test.
Many variations occur, but scintillating scotoma usually begins as a spot of flickering light near or in the center of the visual field, which prevents vision within the scotoma area. It typically affects both eyes, as it is not a problem specific to one eye. [5] [6] The affected area flickers but is not dark. It then gradually expands outward ...
Binocular single vision: BV: Binocular vision: BVD: Back vertex distance BVP: Back vertex power CD: Centration distance C/D: Cup–disc ratio CF: Count fingers vision – state distance c/o or c.o. Complains of CT: Cover test c/u: Check up CW: Close work Δ: Prism dioptre D: Dioptres DC: Dioptres cylinder DNA: Did not attend DOB: Date of birth ...
Prism spectacles incorporate higher power prisms, with variable shapes and designs. The Gottlieb button prism, and the Peli superior and inferior horizontal bands are some proprietary examples of prism glasses. These high power prisms "create" artificial peripheral vision into the non-blind field for obstacle avoidance and motion detection.
Cyclotropia cannot be corrected with prism spectacles in the way other eye position disorders are corrected. [12] (Nonetheless two Dove prisms can be employed to rotate the visual field in experimental settings.) For cyclodeviations above 5 degrees, surgery has normally been recommended. [13]
The small improvement in depth of focus with the conventional IOLs enhances uncorrected near vision and contribute to reading ability. [15] Wavefront customized lenses can be used in eyeglasses. Based on Wavefront map of the eye and with the use of laser a lens is shaped to compensate for the aberrations of the eye and then put in the eyeglasses.
Efforts must first be made to identify and treat the underlying cause of the problem. Treatment options include eye exercises, [2] wearing an eye patch on alternative eyes, [2] [24] prism correction, [26] [24] [27] and in more extreme situations, surgery [5] [28] or botulinum toxin. [29]