Indian Journal of Ophthalmology (Jan 2013)
Isolated abducens nerve palsy with hyperhomocysteinemia: Association and outcomes
- Virender Sachdeva,
- Vaibhev Mittal,
- Avinash Pathengay,
- Ramesh Kekunnaya,
- Amit Gupta,
- Bhoompally V Rao
Affiliations
- Virender Sachdeva
- Vaibhev Mittal
- Avinash Pathengay
- Ramesh Kekunnaya
- Amit Gupta
- Bhoompally V Rao
- DOI
- https://doi.org/10.4103/0301-4738.121089
- Journal volume & issue
-
Vol. 61,
no. 10
pp. 598 – 600
Abstract
Ischemic abducens nerve palsy usually presents as isolated cranial nerve palsy in the middle aged and elderly patients with known risk factors such as diabetes mellitus, hypertension, dyslipidemia, carotid artery disease, etc., In this report, we describe four patients with isolated abducens nerve palsy who presented with an acute onset diplopia whose detailed history and examination were suggestive of an ischemic etiology. Detailed systemic and laboratory evaluation revealed hyperhomocysteinemia as the only potential risk factor. To the best of our knowledge this is the first report of association of hyperhomocysteinemia and isolated abducens nerve palsy.
Keywords
- Posterior open globe injuries
- posterior to rectus insertion
- zone III open globe injuries
- Glaucoma severity
- juvenile glaucoma
- juvenile-onset primary open angle glaucoma
- visual field defects
- Diabetic retinopathy
- renal transplant
- visual outcome
- Gujarati
- logMAR
- repeatability
- validity
- visual acuity
- Multiple sclerosis
- optic neuritis
- optical coherence tomography
- retinal nerve fi ber layer
- visual functions
- Axon diameter
- electron microscopy
- nerve fiber layer
- oligodendrocytes
- pathology
- Frequency doubling technology perimetry
- pediatric visual field testing
- standard automated perimetry
- Central corneal thickness
- glaucoma
- pachymetry
- 20G Silicone rod
- monocanalicular stent
- canalicular laceration repair
- Coat′s like response
- pigmented paravenous chorioretinal atrophy
- Retinochoroiditis radiata
- Dacryocystectomy
- oculosporidiosis
- Rhinosporidium
- Infectious scleritis
- microbial scleritis
- ocular infection
- scleritis
- Congenital ectropion
- congenital eyelid imbrication syndrome
- congenital floppy eyelid syndrome
- congenital lax upper eyelid syndrome
- down syndrome
- Inner retinal layer thickness
- optic nerve hypoplasia
- outer retinal layer thickness
- retinal nerve fiber layer thickness
- spectral domain optical coherence tomography
- Abducens nerve palsy
- hyperhomocysteinemia
- isolated abducens nerve palsy
- nontraumatic
