V And A Pattern Strabismus
As a result the retinal image is not in corresponding areas of both eyes which may result in diplopia in adult patients and can lead to amblyopia in childhood. A fourth nerve palsy typically causes diplopia that is worse in downgaze.
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Hence patients almost always report diplopia or the tendency to close 1 eye while reading.

V and a pattern strabismus. Strabismus squint strabismus or squint is any misalignment of the eyes.
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