This section shows short videos of abnormal facial
and ocular movement seen in my clinic. If you
have problem viewing the videos, you may need
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the logo at the bottom of this page.
nerve synkinesis 446KB ( The patient develops
a right facial nerve synkinesis after
from Ramsey-Hunt's syndrome. Note the winking of the right eye with mouth
spasm 183KB ( This
patient develops a left hemifacial spasm after recovering from a left
nerve palsy. She is also known to suffer from sarcoidosis. Note the contraction
of the facial
and eyelid closure. The patient has difficulty in opening the right eye.)
This patient complains of a two-year history of recurrent spasmodic
contraction of both eyelids which has got worse over the year. Slit-lamp
examination of the anterior
segment is normal. The spasm is reduced with pre-tarsal botulinum toxin
syndrome 608KB ( The
patient has expressionless face and is unable to blow her
or frown. There is poor eyelid closure despite lateral tarsal strips and
medial canthoplasties in
The horizontal eye movement is restricted as shown by the need of the patient
to move her
order to follow the finger. Vertical eye movement is normal. There is also
wasting of the tongue
syndrome and Poland's anomaly 640KB ( The
patient has features similar to video 2.
she has micrognathia and Poland's anomaly which consists of congenital
with syndactylism and amputation).
exotropia 570KB ( The
patient has congenital exotropia with visual acuities of 6/60
right eye and 6/6 in the left. She had has two previous operation to correct
the right exotropia.
tests show bilateral latent nystagmus worse in the right eye. The left
eye also shows DVD -
vertical deviation. Ocular motility reveals A-pattern exotropia and right
third nerve palsy 722KB (
This patient developed a sudden onset right ptosis and diplopia.
was spared. The third nerve palsy was attributed to her diabetes mellitus).
8. Third nerve palsy1,427KB(This
patient who suffers from diabetes mellitus and hypertension develops
a sudden onset right ptosis. Examination reveals that the right eye has
limited movement in those muscles
supplied by the third nerve. The pupil is not involved. The appearance
is that of a medical thrid nerve
fourth nerve palsy 880 KB(This young girl
has a abnormal head posture. The cover/uncover tests
with the head tilted. But with the head in the primary position,
there is a
right. Ocular motility shows left inferior oblique overaction and poor
eye in adduction.)
10. Sixth nerve
palsy 1,066KB (
This patient presents with a sudden onset of diplopia. Examination
reveals a right convergent squint caused by a right abducent nerve palsy.
Further investigation reveals
that he has nasopharyngeal carcinoma.)