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Ophthalmology Orbit 2673122c

All nerve are involved in superior orbital fissure syndrome except -

A
1st
B
3rd
C
4th
D
6th
High-Yield Explanation
Ans. is 'a' i.e., 1stSuperior orbital fissure syndromeo The superior orbital fissure is a cleft between the lesser and greater wing of sphenoid.o The structures passed through superior orbital fissure are 3rd, 4th, 6th nerve, ophthalmic division of 5th nerve, superior & inferior division of ophthalmic vein and sympathetic fibres,o Therefore symptoms of superior orbital fissure syndrome are same as in cavernous sinus thrombosis, i.e., painful ophthalmoplegia :-Pain (retro-orbital pain) and sensory disturbances in the V] (ophthalmic division of 5th nerve)distributionIpsilateral ophthalmoplegia (3rd, 4th and 6th nerve involvement).

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