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Clinical Features and Outcomes of Strabismus Treatment in Third Cranial Nerve Palsy during a 10-Year Period.

Bagheri A, Borhani M, Tavakoli M, Salehirad S - J Ophthalmic Vis Res (2014 Jul-Sep)

Bottom Line: We evaluated age, sex, laterality, severity of involvement, etiology, frequency of clinical findings, and types and results of treatments. 52 patients including 29 male and 23 female subjects with mean age of 21.1±15.5 years were studied between January 1999 and January 2009.The most common operation was large horizontal recession and resection in 78.2% of cases.Corresponding figures for mean vertical deviation were 13±15, 7±12, 4±6 and 1±2 PD, respectively.

View Article: PubMed Central - PubMed

Affiliation: Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT

Purpose: To evaluate the demographics and management outcomes of strabismus surgery in patients with third cranial nerve palsy.

Methods: This retrospective study includes subjects with third cranial nerve palsy. We evaluated age, sex, laterality, severity of involvement, etiology, frequency of clinical findings, and types and results of treatments.

Results: 52 patients including 29 male and 23 female subjects with mean age of 21.1±15.5 years were studied between January 1999 and January 2009. Etiologies of third nerve palsy included congenital in 16 (30.8%), trauma in 26 (50%) and other causes in 10 (19.2%) patients. In 24 patients (46.2%), the palsy was complete. The most common type of strabismus was exotropia associated with hypotropia (40%). Medical treatment was used in 25 (48%) and surgical treatment in 46 (88.4%) subjects. One time strabismus surgery was performed in 30 (65.2%), 2 times in 11 (24%) and 3 times in 5 (10.8%) subjects. The most common operation was large horizontal recession and resection in 78.2% of cases. Mean horizontal deviation in primary position was 66±29 prism diopters (PD) before surgery decreasing to 21±19, 13±12 and 6±8 PD after first, second and third surgery, respectively. Corresponding figures for mean vertical deviation were 13±15, 7±12, 4±6 and 1±2 PD, respectively. Abnormal head posture was 10-30° in 11 (21.1%) cases before treatment which completely resolved after surgery.

Conclusion: Surgical management of strabismus in patients with third nerve palsy is difficult and challenging, however the majority of patients achieve ideal results with appropriate and stepwise surgical plans.

No MeSH data available.


Related in: MedlinePlus

Age distribution of patients with third nerve palsy.
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Figure 1: Age distribution of patients with third nerve palsy.

Mentions: This study included 52 patients consisting of 29 (55.8%) male and 23 (44.2%) female subjects with mean age of 21.1±15.5 years (range, 1 month to 60 years) [Figure 1]. Mean follow-up time was 27.3±10 months (range, 6 months to 10 years). The right eye was involved in 25 (48.1%) subjects, the left eye in 26 (50%) patients and both eyes in 1 (1.9%) individual.


Clinical Features and Outcomes of Strabismus Treatment in Third Cranial Nerve Palsy during a 10-Year Period.

Bagheri A, Borhani M, Tavakoli M, Salehirad S - J Ophthalmic Vis Res (2014 Jul-Sep)

Age distribution of patients with third nerve palsy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4307654&req=5

Figure 1: Age distribution of patients with third nerve palsy.
Mentions: This study included 52 patients consisting of 29 (55.8%) male and 23 (44.2%) female subjects with mean age of 21.1±15.5 years (range, 1 month to 60 years) [Figure 1]. Mean follow-up time was 27.3±10 months (range, 6 months to 10 years). The right eye was involved in 25 (48.1%) subjects, the left eye in 26 (50%) patients and both eyes in 1 (1.9%) individual.

Bottom Line: We evaluated age, sex, laterality, severity of involvement, etiology, frequency of clinical findings, and types and results of treatments. 52 patients including 29 male and 23 female subjects with mean age of 21.1±15.5 years were studied between January 1999 and January 2009.The most common operation was large horizontal recession and resection in 78.2% of cases.Corresponding figures for mean vertical deviation were 13±15, 7±12, 4±6 and 1±2 PD, respectively.

View Article: PubMed Central - PubMed

Affiliation: Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT

Purpose: To evaluate the demographics and management outcomes of strabismus surgery in patients with third cranial nerve palsy.

Methods: This retrospective study includes subjects with third cranial nerve palsy. We evaluated age, sex, laterality, severity of involvement, etiology, frequency of clinical findings, and types and results of treatments.

Results: 52 patients including 29 male and 23 female subjects with mean age of 21.1±15.5 years were studied between January 1999 and January 2009. Etiologies of third nerve palsy included congenital in 16 (30.8%), trauma in 26 (50%) and other causes in 10 (19.2%) patients. In 24 patients (46.2%), the palsy was complete. The most common type of strabismus was exotropia associated with hypotropia (40%). Medical treatment was used in 25 (48%) and surgical treatment in 46 (88.4%) subjects. One time strabismus surgery was performed in 30 (65.2%), 2 times in 11 (24%) and 3 times in 5 (10.8%) subjects. The most common operation was large horizontal recession and resection in 78.2% of cases. Mean horizontal deviation in primary position was 66±29 prism diopters (PD) before surgery decreasing to 21±19, 13±12 and 6±8 PD after first, second and third surgery, respectively. Corresponding figures for mean vertical deviation were 13±15, 7±12, 4±6 and 1±2 PD, respectively. Abnormal head posture was 10-30° in 11 (21.1%) cases before treatment which completely resolved after surgery.

Conclusion: Surgical management of strabismus in patients with third nerve palsy is difficult and challenging, however the majority of patients achieve ideal results with appropriate and stepwise surgical plans.

No MeSH data available.


Related in: MedlinePlus