1. Milorad Ljutica, Albania
Purpose:
As many studies show, palsy of cranial nerve VI is one of the most frequently paralytic strabismus, with palsy of cranial nerve IV. The idea is to show the possibilities and dilemmas of treatment of unilateral abducens palsy through the case.
Method:
Male, 46 years, three years ago suddenly left eye turn inward, with double vision and abnormal head position in the beginning. He did not have therapy so far, hoping for a spontaneous recovery. Neurological and cardiovascular examinations: without pathology (except sixth cranial nerve palsy on left eye).
Strabological status: VOU: 1.0sc; in primary position: left eye esotropia (60PD) without torticollis, secondary deviation (75PD), lack of abduction of the left eye.
We performed asymmetric bilateral recession of medial rectus (on right eye 12mm; left eye 10mm) with resection of the lateral rectus (10mm) on his left eye.
Results:
Seven days after surgery we found orthotropia in primary position, lack of abduction of the left eye and mild anterior segment ischemia. We recommended him orthoptic treatment.
Conclusion:
Depending of lateral rectus function we making the appropriate procedural choice in order to achieve binocular vision in primary position, to correct of compensatory head posture and achieve the best possible abduction.
Tematska oblast:
strabizam i ambliopija
Uvodni rad:
Da
Datum:
12.04.2012.
Br. otvaranja:
576
