Bilateral Internuclear Ophthalmoplegia in Multiple Sclerosis - Getaw Worku Hassen, M.D., Ph.D., and Namita Bhardwaj, M.D. N Engl J Med 2013; 368:e3January 17, 2013. The patient had an adduction deficit in the right eye and nystagmus in the left eye on leftward gaze (Panel A). He also had an adduction deficit in the left eye and nystagmus in the right eye on rightward gaze (Panel B). Upward gaze (Panel C), downward gaze (Panel D), and normal primary position (Panel E) were unremarkable.