Average RNFL thickness is asymmetrical in both eyes with 58% of asymmetry. RNFL thickness values for different locations of the optic nerve scans showing the average thickness in μm in superior, temporal, inferior and nasal quadrants. The RNFL in the nasal quadrant of the right eye and left eye are 68 μm and 59 μm, respectively. Both readings are significantly thin compared with normal controls (96 μm). The RNFL in the temporal quadrant of the left eye is 55 μm which is severely thin compared with normal controls (73 μm). This thinning of RNFL quadrants is consistent with ON.

Average RNFL thickness is asymmetrical in both eyes with 58% of asymmetry. RNFL thickness values for different locations of the optic nerve scans showing the average thickness in μm in superior, temporal, inferior and nasal quadrants. The RNFL in the nasal quadrant of the right eye and left eye are 68 μm and 59 μm, respectively. Both readings are significantly thin compared with normal controls (96 μm). The RNFL in the temporal quadrant of the left eye is 55 μm which is severely thin compared with normal controls (73 μm). This thinning of RNFL quadrants is consistent with ON.

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We report a child with multiple sclerosis who presented with sixth nerve palsy. She is a twelve-year-old Bahraini female presented to the ophthalmology department complaining of double vision. She also had imbalance and paraesthesia. Extraocular muscle examination showed restriction of abduction in the right eye. There was no change in vision. MRI...