PURPOSE To describe the association between entropion and pediatric facial nerve paralysis in the pediatric population. METHODS A retrospective case series was collected from 5 pediatric patients who required surgical correction for symptomatic entropion with a history of facial nerve palsy. RESULTS All 5 patients presented with epiphora and punctate keratopathy. Following surgical correcti...

Purpose To investigate the relationship between objective ocular torsion and the presence or absence of the trochlear nerve in subjects with unilateral superior oblique palsy (SOP). Methods A total of 159 subjects with congenital and acquired unilateral SOP were reviewed. Eighty-four subjects who had a normal trochlear nerve (present group) and 75 subjects without a trochlear nerve (absent gr...

CLINICAL PEARLS Lesions of the fourth (trochlear) cranial nerve cause vertical or oblique diplopia by impairing the ability of the superior oblique muscle to intort and depress the eye. This binocular diplopia worsens in downgaze and lateral gaze away from the affected eye. Because intorsion is necessary to maintain fusion in ocular counter-roll, this diplopia also worsens with head tilt toward...

A 51-year-old woman presented with acute diplopia. Findings include right ptosis, a dilated, unreactive pupil, and impaired adduction and vertical ductions (figure 1). A skin lesion was noted on the right tip of the nose, residual from a vesicular rash over the right forehead 3 weeks earlier (figure 1). MRI demonstrated enhancement of the cisternal third nerve, obviating the need for angiograph...

Abstract Objective To report a case of abducens nerve palsy with associated retinal involvement due to rickettsia typhi infection. Material and methods A single documented multimodal imaging. Results 18-year-old woman history high-grade fever was initially diagnosed typhoid treated fluoroquinolone. She presented 5-day diplopia headaches. Her best-corrected visual acuity 20/20 in both eyes. Ocul...

objective facial paralysis in children is very often idiopathic and isolated facial nerve palsy, resulting from leukemic infiltration is a rare occurrence. here we present the case of a 14 year-old boy with acute lymphobastic leukemia, who first presented with isolated right side peripheral facial nerve paralysis and was initially diagnosed with bell's palsy. conclusion the presence of bell's p...

To present the surgical outcomes of a muscle union procedure in patients with paralytic strabismus, this retrospective study included 27 patients with paralytic strabismus who underwent a muscle union procedure. In this procedure, the two vertical rectus muscles are united with the paralytic horizontal muscle without splitting the muscles. Postoperative ocular deviations, complications, surgica...

This clinical study was carried out to compare the rate of nerve complications after anterior and posterior approaches in forearm both bone fractures in adults. For this purpose, 310 patients with forearm both bone fractures operated during 1997-2002 in Kerman Shahid Bahonar Hospital were studied. From these patients, 121 cases werefemale and 189 cases were male and they were aged from 12 to 67...