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Paper Information

Journal:   JOURNAL OF OPHTHALMIC AND VISION RESEARCH   2014 , Volume 9 , Number 3; Page(s) 343 To 349.
 
Paper: 

CLINICAL FEATURES AND OUTCOMES OF STRABISMUS TREATMENT IN THIRD CRANIAL NERVE PALSY DURING A 10?YEAR PERIOD

 
 
Author(s):  BAGHERI ABBAS*, BORHANI MORTEZA, TAVAKOLI MEHDI, SALEHIRAD SHAHRAM
 
* DEPARTMENT OF OPHTHALMOLOGY, LABBAFINEJAD MEDICAL CENTER, BOOSTAN 9 ST., PASDARAN AVE., TEHRAN 16666, 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 10-30o 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.

 
Keyword(s): EXOTROPIA, HYPOTROPIA, STRABISMUS SURGERY, THIRD NERVE PALSY
 
 
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Click to Cite.
APA: Copy

BAGHERI, A., & BORHANI, M., & TAVAKOLI, M., & SALEHIRAD, S. (2014). CLINICAL FEATURES AND OUTCOMES OF STRABISMUS TREATMENT IN THIRD CRANIAL NERVE PALSY DURING A 10?YEAR PERIOD. JOURNAL OF OPHTHALMIC AND VISION RESEARCH, 9(3), 343-349. https://www.sid.ir/en/journal/ViewPaper.aspx?id=507552



Vancouver: Copy

BAGHERI ABBAS, BORHANI MORTEZA, TAVAKOLI MEHDI, SALEHIRAD SHAHRAM. CLINICAL FEATURES AND OUTCOMES OF STRABISMUS TREATMENT IN THIRD CRANIAL NERVE PALSY DURING A 10?YEAR PERIOD. JOURNAL OF OPHTHALMIC AND VISION RESEARCH. 2014 [cited 2021May10];9(3):343-349. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=507552



IEEE: Copy

BAGHERI, A., BORHANI, M., TAVAKOLI, M., SALEHIRAD, S., 2014. CLINICAL FEATURES AND OUTCOMES OF STRABISMUS TREATMENT IN THIRD CRANIAL NERVE PALSY DURING A 10?YEAR PERIOD. JOURNAL OF OPHTHALMIC AND VISION RESEARCH, [online] 9(3), pp.343-349. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=507552.



 
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