A 26 year old female presents with insidious onset of diplopia on alternate cover test, the patient has a right hypertropia, worse on right head tilt and left gaze. Which muscle is paralysed
Two important patterns:
Right (hyper) left (gaze) Right (tilt) - rt. so palsy.
Left (hyper) right (gaze) left (tilt) - lt. so palsy.
Left superior rectus
Right superior oblique
Right inferior rectus
Left inferior oblique