The prevalence and systemic associations of sixth nerve palsy
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 3
Abstract
Aim: To evaluate prevalence and systemic association of sixth nerve palsy. Methods: It was an observational, prospective study. All the patients who came to our tertiary eye care center with lateral rectus palsy or paresis were examined. The detailed ophthalmic evaluation, including all systemic medical conditions were studied. The help of neuroimaging was taken as and where required bases. Results: We found 42 cases of sixth nerve palsy/ paresis in 6 months’ period. It was more common male (26, 62%) over female (16,38%). The most commonly it was above 40 years of age (30,71%). The systemic association which we find were-Diabetes mellitus (13,31%), Hypertension (5,11%), Diabetes and hypertension both (4,9%), trauma (4,9%), Tumors (4,9%), cerebrovascular accidents (2,5%), post neurosurgery (2, 5%), pregnancy and other gynec problems (2, 5%), others (5,11%), undetermined (2,5%). The medical conditions usually recovered by itself, once systemic control of blood sugar level and blood pressure, while traumatic cases may require the surgical intervention. Conclusion: The incidence of lateral rectus palsy was higher with diabetes mellitus and hypertension, mainly very poor control of blood sugar level and blood pressure. The trauma and neurological conditions required the help of neuroimaging also sometime surgical intervention as and when required bases.
Authors and Affiliations
Vaishali A Prajapati, Gunjan P Tank, Hansa Thakkar, Kalpit Shah, Mansi Patel
Keywords
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- EP ID EP536302
- DOI 10.26611/10099234
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