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Show I Clin. Neuro-ophthalmol. 3: 77, 1983. Neuro-anatomical Feature Photo JAMES R. KEANE, MD. This superimposed photograph of the left eye during full upward and downward gaze illustrates the action of the superior oblique muscle in the presence of a complete (pupil-sparing) third nerve palsy. An iris freckle dramatizes the intorsional and downward movements. A white line connecting the top of the pupil and the iris freckle has been added to show the intorsion. March 1983 The patient was a 79-year-old man with systolic hypertension and mild diabetes in whom a 48-hour evolution of a third nerve palsy was preceded by 3 days of supraorbital pain. Write for reprints to: James R. Keane, MD., Box 359, los Angeles County Hospital, Los Angeles, California 90033. 77 |