Lakshana Malla Lokanathan¹, S Mahesh Kumar²*, Akkayasamy Kowsalya² and Jayasri KN²

¹Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India
²Department of Neuro-ophthalmology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India

*Corresponding Author: S Mahesh Kumar, Department of Neuro-ophthalmology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.

Received: September 04, 2023; Published: September 20, 2023

Abstract

A 27-year-old male presented with complaints of diplopia and outward deviation of left eye following motor vehicle collision. Ocular examination exhibited adduction restriction with abducting nystagmus and bilateral exotropia. neuroimaging revealed haemorrhagic lesions noticed in peri aqua ductal gray matter with involvement of bilateral third nerve nuclei. The patient was managed without surgical intervention and showed improvement in the outward deviation of the eyes and double vision after one month of follow-up. The management strategy entails addressing the underlying pathology through conservative interventions, if feasible, particularly when the etiology is linked to trauma. Internuclear ophthalmoplegia (INO) arises due to a lesion impacting the medial longitudinal fasciculus (MLF), culminating in a distinct clinical presentation marked by bilateral adduction restriction along with contralateral abducting nystagmus. Common etiological factors encompass conditions like multiple sclerosis and ischemia; however, it is infrequently associated with trauma, as evidenced by our patient.

Keywords: Internuclear Ophthalmoplegia; Medial Longitudinal Fasciculus (MLF); Eye

References

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Citation

Citation: Mahesh Kumar.,et al. “Bilateral Internuclear Ophthalmoplegia Following Trauma"Acta Scientific Ophthalmology 6.10 (2023): 11-12.

Copyright

Copyright: © 2023 Mahesh Kumar.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.