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Atlas

The nine positions of gaze with one nerve out

External photographintermediate

A montage of a patient's eyes in the positions of gaze, with the lids held open where needed.

Oculomotor (third) nerve palsy: Ptosis on the affected side

A composite of gaze positions from the source figure.

Diagnosis

Oculomotor (third) nerve palsy

  • Ptosis on the affected side
  • The affected eye rests down and out
  • Failure of adduction, elevation and depression on that side
  • Abduction (lateral rectus) and intorsion (superior oblique) preserved