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Sir Charles Bell. Bell's phenomenon (also known as the palpebral oculogyric reflex [1]) is a medical sign that allows observers to notice an upward and outward movement of the eye, when an attempt is made to close the eyes. The upward movement of the eye is present in the majority of the population, and is a defensive mechanism. [2]
Patients suffering from blepharospasm also report sensory symptoms including sensitivity to light, [14] [15] dry eyes, [16] and burning sensation and grittiness in the eyes. [4] Although such symptoms tend to precede the onset of the blepharospasm, they may both be due to a common third factor.
Other causes can include aromatic L-amino acid decarboxylase deficiency, [9] postencephalitic Parkinson's, Tourette's syndrome, multiple sclerosis, neurosyphilis, head trauma, bilateral thalamic infarction, lesions of the fourth ventricle, cystic glioma of the third ventricle, herpes encephalitis, kernicterus and juvenile Parkinson's disease.
The primary causes include post-cataract surgery, certain medications, and, less commonly, neurological or ophthalmological conditions. Post-cataract surgery is a common cause, as replacing the natural lens with a synthetic one increases exposure to blue light, leading to temporary blue-tinted vision. This effect usually resolves as the eye adapts.
There are many diseases known to cause ocular or visual changes. Diabetes , for example, is the leading cause of new cases of blindness in those aged 20–74, with ocular manifestations such as diabetic retinopathy and macular edema affecting up to 80% of those who have had the disease for 15 years or more.
The symptoms of vestibulocerebellar syndrome vary among patients but are typically a unique combination of ocular abnormalities including nystagmus, poor or absent smooth pursuit (ability of the eyes to follow a moving object), strabismus (misalignment of the eyes), diplopia (double vision), oscillopsia (the sensation that stationary objects in the visual field are oscillating) and abnormal ...
A few may not recover completely or have a recurrence of symptoms. [1] Bell's palsy is the most common cause of one-sided facial nerve paralysis (70%). [2] [9] It occurs in 1 to 4 per 10,000 people per year. [2] About 1.5% of people are affected at some point in their lives. [10] It most commonly occurs in people between ages 15 and 60. [1]
Horner's syndrome, also known as oculosympathetic paresis, [1] is a combination of symptoms that arises when a group of nerves known as the sympathetic trunk is damaged. The signs and symptoms occur on the same side (ipsilateral) as it is a lesion of the sympathetic trunk.