The aetiology of ophthalmoplegia in 15 patients with carotid-cavernous sinus fistula is discussed, and the clinical findings are correlated with angiographic and orbital CT appearances. After closure of the fistula the majority of patients with generalised ophthalmoplegia recovered full ocular movements rapidly, while patients with an isolated abduction weakness required much longer to return t...

purpose: to evaluate demographics and therapeutic outcomes of patients with third nerve palsy who had been treated between 1999 to 2009 at labbafinejad medical center. methods: in this retrospective study, we evaluated 52 patients with third nerve palsy who had been referred to labbafinejad medical center over a ten-year period. results: in this retrospective study, subjects who had been treate...

BACKGROUND Diplopia is a common subjective complaint that can be the first manifestation of a serious pathology. Here, we report a rare case of midbrain infarction involving the lateral subnucleus of the oculomotor nuclear complex presenting as diplopia, with no other stroke manifestations. CASE REPORT An 83-year-old right-handed white man with past medical history of diabetes mellitus, hyper...

one of the important causes of strabismus in all ages is extraocular muscles paralysis due to 3rd, 4th and 6th cerebral nerve palsies. exact and on-time treatment can result in improvement of deviation, am-blyopia and abnormal head posture. we studied epidemiological characteristics of extraocular muscles paralysis. this retrospective study performed on 131 subjects (58% male). records of patie...

purpose: to evaluate the efficacy of subtenon injection of botulinum toxin a (dysport) in acute 6th nerve palsy. methods: this randomized clinical trial was performed on 28 patients with 6th nerve palsy of less than 3 months’ duration without history of extraocular muscles abnormality. ophthalmic examinations included visual acuity, degree of eye deviation, slitlamp biomicroscopy and funduscopy...

PURPOSE To review the history of procedures used to strengthen the action of the superior oblique (SO) muscle and methods of quantifying surgical dosage and to determine the relationship between congenital onset and tendon laxity measured at the time of surgery. METHODS We reviewed medical records over a 10-year period of 30 patients who had undergone SO tendon tuck for SO muscle palsy using ...

introduction penetration of a bicycle brake handle into the orbit is a rare and serious type of trauma. globe subluxation due to such trauma has not been previously reported. case presentation a 10-year-old girl presented after falling from a bicycle, which resulted in the handbrake penetrating her right upper eyelid. on examination, the globe was subluxated anteriorly, there was no light perce...

THERE have been described about thirty cases of this interesting phenomenon. Axenfeld and Schuirenberg (1901) have their names attached to the condition in the Continental literature; they called it " Cyclic Congenital Oculomotor Disease". Fuchs, however, described a case much earlier (1893). The clinical picture is quite different from recurrent oculomotor palsy. The cause is still a matter of...

Anterior segment ischemia is a rare but well-recognized complication after strabismus surgery, involving multiple extraocular muscles. We report a case of traumatic left sixth nerve palsy in a 32-year-old man who developed anterior segment ischemia after left medial rectus muscle recession and partial tendon transfer of the vertical rectus muscles to the lateral rectus, augmented by lateral fix...