Title: Discuss with supporting evidence from the literature:
a) The aetiology & prognosis of acquired unilateral 4th nerve palsy in adults of all ages (40)
b) The orthoptic & ophthalmological management after onset, during the observation period (ensuring that you relate this to the condition) (20)
c) Describe the surgical management of a unilateral 4th nerve palsy in which the superior oblique underaction is -3 and no recovery has taken place after the observation period.
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