Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the adducting eyes. Abducting eye nystagmus is seen during some of the movements- probably partially compensated due to long standing MS Dr. Boby Varkey Maramattom @bobvarkey #Bilateral #Internuclear #Ophthalmoplegia #BINO #ocular #physicalexam #clinical #video #neurology #ophthalmology
