Some patients have severe pain and double vision (diplopia), in addition to problems moving their eyes normally. The affected eye tends to move down and out, due to an inequality in muscle...
Isolated sixth nerve palsies usually manifest as a horizontal diplopia worse when looking towards the affected eye, with a decreased ability to abduct.
Treatment of sixth nerve palsies is dictated by the underlying causes. Older patients who are thought to have had a mini-stroke are observed for several months, because of likely spontaneous...