International Scientific Surgical Association
Первая международная дистанционная
научно-практическая конференция
"Новые технологии в медицине - 2004"
P.K.Sodhi1, J.L.Goyal 2, S.K.Ratan3
CURRENT PRESENTATIONS OF OCULAR MOTOR NERVES PALSIES
1Department of Ophthalmology, Safdarjung Hospital,
2Maulana Azad Medical College and allied Guru Nanak Eye
3Department of Paediatric Surgery, Safdarjung Hospital,
New Delhi, India
Abstract
Background: Ocular
motor nerve palsies, in addition to being of visual inconvenience, might
additionally point to a grave systemic disease. Though the ocular
condition needs conservative treatment mainly, the underlying systemic
condition might require emergent and/or prolonged treatment measures.
Patients and Methods: The aim of the present study was to find the
current pattern of ocular motor nerve palsies. We retrospectively
reviewed the case records of ninety-nine patients who presented to us
with ocular motor nerve palsies. In addition to performing the
appropriate examination and routine investigations, the radiological
studies and specific investigations were performed where ever indicated.
Results: We found the abducens nerve to be most frequently paralysed
followed by oculomotor nerve and trochlear nerve. Next to idiopathic
ocular motor nerve palsies, trauma and vascular causes formed a common
cause for ocular motor nerve involvements. Multiple cranial nerves were
involved in 32% subjects. Bilateral affection was seen in 15% subjects.
The vascular abnormalities were the most frequently found positive
finding on radiological scans.
Conclusions: Our findings were, by and large, similar to those reported
by other authors. Unlike previous authors we found a higher incidence of
vascular causes and thereby vascular abnormalities on radiological
scans; and lower incidence of neoplasms in our patients of oculomotor
nerve palsies. We discovered optic atrophy to be a very common clinical
feature in these patients. A baseline knowledge of the current pattern
of ocular motor nerve palsies not only would help us to make a probable
diagnosis of the underlying disease condition but also would be helpful
in prescribing the appropriate investigation modalities for these
patients.
Keywords: Ocular motor nerve palsies, Trochlear nerve palsy, Oculomotor
nerve palsy,
Sodhi P.K., Goyal
J.L., Ratan S.K. CURRENT PRESENTATIONS OF OCULAR MOTOR NERVES PALSIES //
Новые технологии в медицине:
Сб. докл. Первой международной дистанционной науч.-практ. конф.,
Санкт-Петербург, 15-30 марта 2004 г. СПб, 2004. С. 52-53
E-mail: hardeep333@hotmail.com
