A 36-Year-Old Man Is Evaluated for Double Vision

A 36-year-old man is evaluated for double vision. He has an abnormal vision for the whole day yesterday. Today, the patient started having double vision. He does not have prior medical or surgical history. Physical examination shows abnormal pupil reflex. A shining light in the right eye causes right pupil constriction but not the left pupil. Light shining in the left eye causes constriction in the right eye only. Which of the following findings the patient would likely have?

A) Absence of the left corneal reflex
B) Drooping of the left eyelid
C) Inability to close the left eye
D) Inward deviation of the left eye
E) Visual loss in the left eye

Correct Answer:

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