EET PG Medical – 2020 – Question – 135
A 65 old male with a history of hypertension and diabetes, presents to the OPD with complaints of diplopia and squint. On examination, the secondary deviation is more than the primary deviation. Which of the following is most likely diagnosis
a) concomitant squint
b) paralytic squint
c) Restrictive squint
d) Pseudo squint
Correct Answer – B
Ans:b.paralytic squint.
>Paralytic or incomitant squint occurs when there is an acquired defect of the movement of an eye.
> The squint (and double vision) is maximally demonstrated by looking in the direction of action of the weakened muscle.
>Paralytic squints occur due to disease of the III, IV and VI cranial nerves.
Ref:https://www.gponline.com/basicsstrabismus/ophthalmology/article/1055827
