A Case Study: Bilateral Internuclear Ophthalmoplegia
Jade Portingale, BOrth&OphthSc 1
Linda Santamaria, DipAppSc(Orth) MAppSc 2
Mark Etheridge, BOrth 3
1 Department of Clinical Vision Sciences, La Trobe University, Melbourne, Australia
2 Department of Surgery, Monash University, Melbourne, Australia
3 Department and Clinical School of Orthoptics, Royal Victorian Eye & Ear Hospital, Melbourne, Australia
A 30-year old female presented with a five-day history of vertical diplopia. Clinical examination revealed bilateral restriction of adduction and nystagmus of the abducting eye, diagnosed as a bilateral internuclear ophthalmoplegia. A three-day course of intravenous methylprednisolone was prescribed and her signs and symptoms soon resolved. Later, magnetic resonance imaging revealed no signs of demyelination.
