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Congenital fourth nerve palsy is a condition present at birth characterized by a vertical misalignment of the eyes due to a weakness or paralysis of the superior oblique muscle. Other names for fourth nerve palsy include superior oblique palsy and trochlear nerve palsy. [ 1 ]
Another condition that produces similar symptoms is a cranial nerve disease. [3] Diagnosis may be made by observing the light reflecting from the person's eyes and finding that it is not centered on the pupil. [3] This is known as the Hirschberg reflex test. Treatment depends on the type of strabismus and the underlying cause. [3]
The optic nerve can be damaged when exposed to direct or indirect injury. Direct optic nerve injuries are caused by trauma to the head or orbit that crosses normal tissue planes and disrupts the anatomy and function of the optic nerve; e.g., a bullet or forceps that physically injures the optic nerve.
The exact mechanism of optic nerve ischemia in these cases remains unclear, but contributing factors may include hypotension, anemia, hypoxia, and changes in the autoregulation of optic nerve arterial blood flow. The incidence of ischemic optic neuropathy leading to vision loss following general surgeries ranges between 0.1% and 0.002%.
The optic disc appears abnormally small, because not all the optic nerve axons have developed properly. [1] It is often associated with endocrinopathies (hormone deficiencies), developmental delay, and brain malformations. [2] The optic nerve, which is responsible for transmitting visual signals from the retina to the brain, has approximately 1 ...
This disease is a heterogenous group of inherited neuropathies, stemming from a MFN2 mutation, in which both motor and sensory nerves are affected, resulting in distal limb weakness, sensory loss, decreased deep tendon reflexes, and foot deformities. Affected individuals develop progressive optic nerve dysfunction starting later in childhood. [21]
The American study found that Ozempic more than doubles the risk of non-arteritic anterior ischemic optic neuropathy (NAION), a rare condition that damages the optic nerve.
The optic tract is a continuation of the optic nerve that relays information from the optic chiasm to the ipsilateral lateral geniculate nucleus (LGN), pretectal nuclei, and superior colliculus. [14] The optic tract represents the first stage in the visual pathway in which visual information is transferred in a homonymous nature. [ 15 ]