This patient complains of diplopia. a. What is the most likely diagnosis? b. The orthoptic assessment shows that the diplopia can be fused with a 3D prism. Over which eye would you place the prism and what is the direction of the base of the prism?
a. What is the most likely diagnosis?
b. The orthoptic assessment shows that the diplopia can be fused with a 3D prism. Over which eye would you place the prism and what is the direction of the base of the prism?
Answer aA left fourth nerve palsy. Answer b The prism can be placed either over the right eye with the prism base up or over the left eye with the prism base down.