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Subjects/Ophthalmology/Ophthalmology
Ophthalmology
medium
eye Ophthalmology

Right trochlear nerve palsy can lead to all except:

A. Diplopia on upward gaze and adduction
B. Right head tilt
C. Exotropia
D. Hyperopia

Explanation

Ans: B. Right head tilt(Ref. Yanoff and Duker 4/e p1228)Right trochlear nerve palsy:Accompanied by compensatory contralateral head tilt (left head tilt), not right head tilt.Signs:Classical sign of unilateral fouh nerve palsy is contralateral head tilt (an 'ocular' toicollis).Exhibited by most patients & usually sole presenting sign in children.Non-ophthalmological causes also considered.Presents with veical diplopia.Torsional diplopia - Due to ocular cyclotorsion accompanies veical diplopia in acquired fouh nerve palsy.

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