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The history should include period of onset, progression, duration and severity,
family history of strabismus and amblyopia, history of trauma, as well as history
of any other medical problems. As referenced above, comparing old family
photos may be of utility.
FIGURE 28.3 Right third cranial nerve palsy. When looking straight ahead with left eye, right
eye rests in a hypotropic and exotropic position. Note right ptosis. Right pupil is involved
(mydriatic), but both pupils were dilated pharmacologically by examiner just before this
photograph was taken.