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Case of the week 156  ( January 2014 )
Traumatic 6th nerve palsy



This 8 years old boy suffered severe head trauma one year ago in an auto accident. His eyes have been crossed since the accident. He has diplopia but the images but he is not particularly bothered. He feels better when he turns his head to the left.

Vision: OD 20/20, OS 20/20
Refraction: OD + 0.50
               OS + 0.50 +0.75 x 80 degrees




 See video of this patient
 


Traumatic 6th nerve palsy

Following sever head trauma, the diagnosis of Traumatic  6th Nerve Palsy should not present any difficulties :

  1.There is marked limited abduction.

  2.The esotropia increases on attempts to abduct the paretic eye.

  3. Most patients will complain about double vision in lateral gaze and assume a compensatory face turn in the direction of the paralyzed muscle.

In traumatic 6th Nerve Palsy, spontaneous recovery occurs  in 84% of the unilateral and in 25% of the bilateral palsies.

Therapy

In determining whether a patient with traumatic 6th nerve palsy will require therapy or not during the recovery period which last up to 6 months, the extent to which the paralysis interferes with comfortable single binocular vision must be evaluated.

The eyes rarely move more than 15 degrees from the primary position. The diplopia occurs in lateral  gaze is tolerated by most patients. Like our patient here,  with a paretic left 6th nerve palsy, he may be comfortable with his eyes in primary position and in right gaze but he experiences diplopia only in lt gaze. However, what is  tolerated by one patient may not be acceptable to another.

In desperate situations in which single binocular vision cannot possibly be restored by any means, occlusion of one eye, preferably the sound eye, is a last resort to create visual comfort for some patients.

Examination of the patient after 6 months of the onset of head injury will reveal the extent to which the lateral rectus muscle may recover ( partial or full recovery ) , according to the finding data at that time , the surgical plan - if needed - could be done.

A maximal recession-resection procedure suffices in incomplete 6th nerve paralysis. For a complete paralysis  I prefer to transpose the temporal half of each vertical rectus muscle.  The Jensen muscle union is less frequently performed now than only a few years ago since it has been shown that this procedure does not necessarily protect against anterior segment ischemia .

 



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