Clinical profile and management of sixth nerve palsy in pediatric patients (0–15 years) in Southern India – A hospital-based study

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dc.contributor.authorKalita, Iva Ranien_US
dc.contributor.authorVeena, Ken_US
dc.contributor.authorMouttappa, Fredricken_US
dc.contributor.authorSundaralakshmi, Priyaen_US
dc.contributor.authorSingh, Harsh Vardhanen_US
dc.date.accessioned2023-08-25T06:32:21Z
dc.date.available2023-08-25T06:32:21Z
dc.date.issued2022-03
dc.description.abstractPurpose: This study was done to evaluate the clinical profile in pediatric patients (0–16 years) presenting with acute onset esotropia due to sixth nerve palsy and its management options in a tertiary care set up of Southern India. Methods: A total of 12 patients presenting to our OPD with acute onset esotropia due to sixth nerve palsies were included in this retrospective study. All patients were observed for 6 months and managed with prism and/or patching while waiting for spontaneous resolution and later managed surgically. Neuroimaging was done in all cases. Results: The mean deviation of esotropia at presentation was 30.17 ± 5.7 Prism Diopter (range 12–50 Prism Diopter 95% CI, SD 10.11). Mean age of the patients during presentation was 8.6 ± 2.4 years (range: 1–15 years, SD 4.27). Among the common causes of sixth nerve palsy in our study population were trauma and idiopathic intracranial hypertension followed by tumor and miscellaneous causes. Only three patients underwent surgical correction of residual deviation after a waiting period of 6 months for self?resolution. Spontaneous resolution was observed in 41.6% patients, and surgical correction (unilateral resection–recession) was done in 25% of the patients with good surgical outcome. Conclusion: At 1?year follow up, the motor outcome was satisfactory except for one patient who had diffuse pontine glioma and had worsening neurological symptoms on follow?upen_US
dc.identifier.affiliationsDepartment of Paediatric and Strabismus, Pondicherry, Indiaen_US
dc.identifier.affiliationsDepartment of Neurophthalmology and Low Vision Services, Pondicherry, Indiaen_US
dc.identifier.affiliationsDepartment of Vitreo-retina Services, Aravind Eye Hospital, Pondicherry, Indiaen_US
dc.identifier.citationKalita Iva Rani, Veena K, Mouttappa Fredrick, Sundaralakshmi Priya, Singh Harsh Vardhan. Clinical profile and management of sixth nerve palsy in pediatric patients (0–15 years) in Southern India – A hospital-based study. Indian Journal of Ophthalmology. 2022 Mar; 70(3): 952-957en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224199
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber3en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_2211_21en_US
dc.subjectAbducens palsyen_US
dc.subjectbinocular visionen_US
dc.subjectdiplopiaen_US
dc.subjectneuroimagingen_US
dc.subjectsixth nerve palsyen_US
dc.subjectstrabismusen_US
dc.titleClinical profile and management of sixth nerve palsy in pediatric patients (0–15 years) in Southern India – A hospital-based studyen_US
dc.typeJournal Articleen_US
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