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Ophthalmology Neuro-Ophthalmology 94251714

Superior orbital fissure syndrome include all except-

A
3rd nerve
B
4th nerve
C
6th nerve
D
2nd nerve
High-Yield Explanation
Ans. is 'd' i.e., 2nd nerveo 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 ophthalmoplegiaPain (retro-orbital pain) and sensory disturbances in the V1 (ophthalmic division of 5th nerve) distributionIpsilateral ophthalmoplegia (3rd, 4th and 6th nerve involvement).

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