What are the symptoms of ophthalmoplegia

Ophthalmoplegia often manifests itself as drooping of the upper face, or dilated pupils, loss of light reflex, and disappearance of accommodation reflex. Severe patients may also show symptoms such as nausea and vomiting. Once discovered, treatment must be taken seriously.

1. Intraocular muscle paralysis manifests itself as ptosis, hypotropia, pupil dilation, disappearance of light reflex and accommodation reflex, etc.

2. Paralysis of the levator palpebrae superioris muscle: The symptoms are ptosis and hypotropia of the affected eye. The line of sight of the affected eye is blocked by the drooping upper eyelid, and diplopia is generally not felt.

3. Ciliary muscle paralysis: The symptoms are impaired lens adjustment, resulting in blurred vision at close range, dilated pupils, and disappearance of light reflex and accommodation reflex.

4. Extraocular muscle paralysis The chance of all six extraocular muscles being paralyzed at the same time is very small. In most cases, only one or two extraocular muscles are paralyzed. The manifestations of paralysis are varied. For example, restricted inward, outward, downward, and upward movement of the eyeball may cause strabismus, diplopia, visual confusion, etc.

5. Diplopia, strabismus and visual confusion cause vertigo. When the eyeball moves, the strabismus angle changes continuously and the viewed object cannot be stable, causing vertigo. In severe cases, nausea and vomiting may occur. The visual positioning function is destroyed, and the gait is unstable when walking and deviates in a certain direction. Oculomotor nerve paralysis: oculomotor nerve paralysis is manifested as paralysis of the entire eye muscle it controls, limited inward, downward and upward movement of the eyeball, ptosis, and exotropia. Intraocular muscle paralysis is manifested as dilated pupils, disappearance of light reflex and accommodation reflex, and diplopia.

6. Trochlear nerve palsy is often accompanied by oculomotor nerve palsy. Isolated trochlear nerve palsy is rare and manifests as limited outward and downward movement of the eyeball, diplopia, and strabismus when looking downward and outward.

7. Abducens nerve paralysis causes strabismus and diplopia when looking inward or outward.