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Medical & Surgical Ophthalmology Research

Diagnosing and Managing a Case with a Fourth Nerve Palsy and Papilledema

  • Open or Close Andrea Fernández-Menéndez1 and Alfonso Casado2*

    1Department of Pediatrics, Marqués de valdecilla Universitary Hospital, Spain

    2Department of Ophthalmology, Marqués de Valdecilla Universitary Hospital, Spain

    *Corresponding author: Alfonso Casado, Department of Ophthalmology, Marqués de Valdecilla Universitary Hospital, Spain. Email:

Submission: November 01, 2017; Published: February 23, 2018

DOI: 10.31031/MSOR.2018.01.000519

ISSN: 2578-0360
Volume1 Issue4


A 14-year-old boy presented to the Hospital with new-onset vertical binocular diplopia. Medical history was notable for a recent cranial traumatism. On examination, visual acuity was 20/20 in each eye. Pupils were equal and reactive. Visual fields (VF) were full to confrontation. A slight right head-tilt was observed (Figure 1A), as well as a left hypertropia of 3 Diopters (DP) in primary gaze. Ductions and versions revealed mild over-elevation in adduction.

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