purpose: to evaluate the effect of botulinum toxin-a as an alternate to surgery in acute complete sixth nerve palsy and to shorten the recovery period. methods: thirty patients with acute complete sixth nerve palsy received 1-10 units of botulinum toxin-a (dysport) injection in the medial rectus muscle within one month from the onset of palsy. toxin was injected directly into the muscle belly u...

BACKGROUND Etiology and date of palsy are two important parameters that affect the treatment protocol of sixth nerve palsies. This study evaluated the treatment protocols and outcomes of treatment in sixth nerve palsies. METHODS Thirty-four patients who had sixth nerve palsy were included. Botulinum toxin A (BTX) injection was performed on patients with acute sixth nerve palsy and paresis (BT...

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 report the outcomes of surgical and non-surgical treatment for sixth nerve palsy and paresis in our center. methods: hospital records of 33 patients (35 eyes) with sixth nerve dysfunction who were referred to labbafinejad medical center from september 1996 to september 2006 and underwent surgical procedures or botulinum toxin injection were reviewed. results: patients were divided i...

Leptospirosis, a disease of great significance in tropical countries, presents commonly as a biphasic illness with acute febrile episode in the first phase followed by a brief afebrile period and then by the second phase of fever with or without jaundice and renal failure. However, it has varied manifestations and unusual clinical features ascribed to immunological phenomena can occur due to th...

PURPOSE During fixation and saccades, human eye movements obey Listing's law, which specifies the torsional eye position for each combination of horizontal and vertical eye positions. To study the mechanisms that implement Listing's law, the authors measured whether the law was violated in peripheral and central unilateral sixth nerve palsy. METHODS Twenty patients with peripheral (13 chronic...

leptospirosis, a disease of great significance in tropical countries, presents commonly as a biphasic illness with acute febrile episode in the first phase followed by a brief afebrile period and then by the second phase of fever with or without jaundice and renal failure. however, it has varied manifestations and unusual clinical features ascribed to immunological phenomena can occur due to th...

purpose: to evaluate the results of jensen procedure in correction of ocular deviation in patients with complete sixth nerve palsy. methods: hospital records of patients with complete sixth nerve palsy who underwent jensen procedure at khalili hospital of shiraz during 1993-2002 were studied and results of the operation were evaluated. results: of 18 patients including 14 male and 4 females, 19...

purpose: to evaluate the results of augmented vertical rectus muscle transposition with intraoperative botulinum toxin for complete and chronic sixth nerve palsy. methods: during a 10 years period (1381-1390) all patients with chronic and complete sixth nerve palsy, and contracted medial rectus (mr) underwent augmented vertical rectus muscle transposition with botulimum toxin injection into the...

Oculomotor palsy is one of the most frequent neuro-ophthalmologic complications in patients with diabetes. Specifically, sixth nerve common. A 51-year-old female a past medical history type 1 diabetes on insulin and hypertension presented complaints worsening headache diplopia. Physical exam was remarkable for recurrent palsy. Patient hemodynamically stable. Labs showed blood glucose 367 mg/dL ...