Abstract

Introduction: The primary nerve involved in the execution of ocular movements is the oculomotor nerve. The paralysis or paresis of extraocular muscles due to third nerve palsy, leads to ptosis, anisocoria and ocular motility defects. This paper aims to describe the cases of third nerve palsy presenting in our OPD with myriad of etiologies and a case-specific approach of management to achieve the best prognosis possible in each case.

Objective: To do descriptive analysis of cases of third nerve palsy on the basis of etiology, clinical presentation and management.

Materials and Methods: Descriptive analysis of twenty five cases of third nerve palsy presenting in OPD from January 2017 to August 2019 was done.

Conclusion: Amongst the twenty five cases, five were congenital, twenty were acquired. History taking and clinical examination with judicial use of neuroimaging was the mainstay for diagnosis. It was found that congenial and traumatic are the main causes in children, while traumatic and microvascular etiology is the main cause in adults. Surgery is needed in most cases except in the self resolving ones due to viral illness, vascular etiology and few cases of traumatic as well. Overall, there needs to be a customized approach for individual cases.

Keywords: Congenital; Acquired; Conservative; Diplopia; Ocular Alignment; Resection; Recession; Periosteal Fixation

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Citation

Citation: Reena Gupta., et al. “Clinical Profile of A Plethora of Cases of Third Nerve Palsy". Acta Scientific Microbiology 3.1 (2020): 136-143.

Copyright

Copyright: © 2020 Reena Gupta., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.