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Bilateral Internuclear Ophthalmoplegia (BINO)



Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the adducting eyes. Abducting eye nystagmus is seen during some of the movements- probably partially compensated due to long standing MS



Dr. Boby Varkey Maramattom @bobvarkey



#Bilateral #Internuclear #Ophthalmoplegia #BINO #ocular #physicalexam #clinical #video #neurology #ophthalmology
Contributed by

Boby Varkey Maramattom
@bobvarkey
Lead consultant Neurologist, Aster Medcity, Kochi, India. 
Internal medicine faculty Royal college of UK
https://twitter.com/bobvarkey
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