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New research · Ophthalmology
Asia-Pacific journal of ophthalmology (Philadelphia, Pa.) · 23h
GuidelineAsia-Pacific journal of ophthalmology (Philadelphia, Pa.) · 2026

International consensuses and guidelines on clinical practices on abducens nerve palsy by the Asia-Pacific Strabismus and Pediatric Ophthalmology Society (APSPOS) and the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO).

Jing Yao, Sonal K Farzavandi, Miho Sato … Chen Zhao
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OphthalmologyGuideline

Most expert consensus statements on abducens nerve palsy achieved high agreement.

International consensuses and guidelines on clinical practices on abducens nerve palsy by the Asia-Pacific Strabismus and Pediatric Ophthalmology Society (APSPOS) and the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO).

Jing Yao et al. · Asia-Pacific journal of ophthalmology (Philadelphia, Pa.) · 2026
Background

Abducens nerve palsy is the most common ocular motor neuropathy, with a population-based annual incidence of approximately 4.7-11.3 per 100,000.

94.12%
Results
Nearly all expert consensus statements on abducens nerve palsy reached high agreement.
More results

It classically manifests as esotropia, horizontal diplopia, abduction deficit and compensatory head turn.

However, various etiologies make it challenging to accurately diagnose and manage abducens nerve palsy in a cost-effective way.

More results

Controversies persist regarding the optimal timing of neuroimaging, the utility of botulinum toxin injection, and the selection of surgical procedures for partial versus complete palsy.

“
Conclusion

These statements can provide a practical, etiology-based algorithm to guide diagnosis and management of abducens nerve palsy.

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