Damage to the peripheral part of the abducens nerve will cause double vision (diplopia), due to the unopposed muscle tone of the medial rectus muscle. The affected eye is pulled to look towards the midline. In order to see without double vision, patients will rotate their heads so that both eyes are toward the temple. Partial damage to the abducens nerve causes weak or incomplete abduction of the affected eye. The diplopia is worse on attempts at looking laterally.
