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  • Forced duction testing - University of Iowa
    Forced duction testing Richard C Allen, MD Additional Notes: Length 00:25 This is Richard Allen at the University of Iowa This video demonstrates forced duction testing in a patient who has a left orbital floor fracture Toothed forceps are used to grasp the eye at the inferior rectus insertion
  • Thyroid Eye Disease, workup and diagnosis - University of Iowa
    Diplopia associated with TED is restrictive in nature, which can be determined by forced duction testing Orbital myositis (OM) – OM causes enlargement and inflammation of the muscle body and tendon insertion , rather than just the muscle body, as is the case in TED patients
  • INTERMITTENT EXOTROPIA: A Major Review - University of Iowa
    Table 2: Kushner's Classification of Intermittent exotropia Type Description Percent Basic Distance and Near Measurements are equal
  • Mesodiencephalic junction infarct: Localizing a pseudo abducens palsy . . .
    The findings in our patient of vertical gaze palsy in both up and down gaze, bilateral abduction deficits (likely pseudoabducens palsy) localized to a lesion in the mesodiencephalic junction in the territory supplied by the posterior thalamo-subthalamic paramedian artery, a branch off the tip of the basilar artery
  • Tutorial: Binocular Vision - University of Iowa
    According to Hering’s law the movement of the fellow eye will be biphsic, that is, it will move outward simultaneously and symmetrically (version) when the eye under the prism refixates and then will perform a slow fusional movement (duction) in the opposite direction to correct for the image displacement
  • Cranial Nerve VI (Abducens Nerve) Palsy Secondary to Schwannoma
    Cranial nerve VI (CNVI or abducens nerve) innervates the lateral rectus muscle that is responsible for abduction of the eye
  • Thyroid Eye Disease, Presenting symptoms - University of Iowa
    Clinical examination in which position of light reflex relative to pupil and limbus is used to evaluate degree of duction in the four cardinal directions; Shown to be the best method of evaluating restrictive extraocular myopathy; Figure 12: Hypotropia Note the vertical misalignment of the eyes in primary gaze and the restrictive movement in
  • Optic Nerve Sheath Fenestration - University of Iowa
    A traction suture is placed partial thickness through the superior medial limbus with 7-0 vicryl suture to place the globe in infra and A-B duction A 4-0 silk suture is then placed through the eyelid margin to provide traction An incision is then made with the 15 blade at the eyelid crease through the skin and orbicularis muscle
  • Symptomatic Branch Retinal Artery Occlusion: An Under-Recognized Sign . . .
    EPIDEMIOLOGY ETIOLOGY CRAO between 1-2 cases 100,000 per year [3] BRAO 5 cases 100,000 per year [2] More common in older adults with significant vascular risk factors
  • Atlas Entry - Bilateral Cranial Nerve VI (Abducens Nerve) Palsies . . .
    findings are consistent with bilateral cranial nerve VI palsies MRI shows a large, heterogeneous mass with mass effect on the brainstem in the prepontine and premedullary cistern that was thought to represent an organized retroclival hematoma





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