1. Prostate cancer metastasis to clivus causing cranial nerve VI palsy
Kelly A. Malloy, O.D. 
Optometry-Journal of the American Optometric Association 
Volume 78, Issue 2, Pages (February 2007)
DOI: /j.optm
Copyright © 2007 American Optometric Association Terms and Conditions

2. Figure 1
Ocular motility testing. Note left abduction deficit. Although there appear to be evident upgaze restrictions, this was not the case. Unfortunately, a good photo in upgaze was not obtained.
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions

3. Figure 2
Results of cover testing at distance on initial presentation. Maddox Rod testing yielded similar results.
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions

4. Figure 3
Sagittal T1-weighted MRI. Arrow points to the enhancing lesion in the clivus.
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions

5. Figure 4
Axial T1-weighted postcontrast MRI. Yellow arrow points to enhancing mass in clivus. Red arrow points to second enhancing lesion in left temporal lobe.
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions

6. Figure 5
Four months postradiation treatment. Top photo, right gaze. Middle photo, left gaze. Bottom photo, left gaze viewed from the side, showing improvement (90% normal abduction).
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions

7. Figure 6
Seventeen months after initial presentation. Top, right gaze. Bottom, left gaze.
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions

8. Figure 7
Results of cover testing at distance 17 months after initial presentation (after radiation treatment).
Optometry-Journal of the American Optometric Association  , 55-62DOI: ( /j.optm )
Copyright © 2007 American Optometric Association Terms and Conditions