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Living with Congenital abducens nerve palsy

A rare eye movement condition from birth where one eye cannot turn outward well, often with a head turn to compensate.

Understanding Congenital abducens nerve palsy

Congenital abducens nerve palsy is a rare condition present from birth in which an eye muscle does not move the eye outward properly.

The eye turns inward at rest and has limited or no outward movement. The head often turns toward the affected side to help. GARD says the condition commonly resolves on its own.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes these features:

  • Eye turned inward at rest (esotropia)
  • Limited or no outward eye movement
  • Head turned toward the affected eye

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is it likely to improve on its own in my child?
How often should eye alignment be checked?
When would treatment such as glasses or surgery be considered?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes cause this condition, but doesn't list a specific gene or inheritance pattern.

Genetic

Also known as: benign congenital sixth cranial nerve palsy; congenital cnvi palsy; congenital sixth nerve palsy

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital abducens nerve palsyGARD ID 21837 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital abducens nerve palsy.

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