Abstract

Purpose: To ascertain the etiology of fourth (CN4) and sixth nerve palsies (CN6) in an ophthalmology clinic. Methods: This retrospective study consisted of 176 patients with fourth and sixth nerve palsies in a strabismus clinic. Demographic features and etiology were recorded. Results: One hundred and three patients with fourth nerve palsy and 73 patients with sixth nerve palsy were enrolled in the study. The median follow up was 2 (1-4) years. The most common cause of the palsy was congenital palsy in CN4 group (37.9%) and trauma in CN6 group (24.7%). Conclusions: Trauma and congenital palsies were the leading causes of fourth and sixth nerve palsies as described in the literature.

Highlights

  • Patients with paralytic strabismus comprise an important number of patients of ophthalmology clinics as well as of neurology and neuroophthalmology clinics

  • The series consist of patients with paralytic strabismus due to fourth or sixth nerve palsies who were seen in Strabismus Clinic between January 2001 and January 2011

  • We aimed to describe the clinical profile in our clinic

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Summary

Objectives

The purpose of the study was to ascertain the etiology of fourth and sixth nerve palsies in an ophthalmology clinic and to define the clinical features. Nerve palsies in different types of clinics. We aimed to describe the clinical profile in our clinic

Methods
Results
Conclusion
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