Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
+44 1223 790975
ISSN: 2155-9570
+44 1223 790975
Sherif Amer
Neuro-Ophthalmologist, Egypt
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Objective: To evaluate the effect of vitamin B combined therapy on the recovery of acquired abducens nerve palsy of variable severity in the early stages of the disease. Subjects & Methods: 93 cases of diabetic sixth nerve palsy presented to the neuro-ophthalmology clinic of the National Eye Center of Egypt and the ophthalmology outpatient clinic of Beni Suef University Hospitals, from June 2007 to march 2010 were included in the study. Only cases with less than one month complaint were included in the study. Combined vitamin B therapy were applied by intramuscular injections to all cases using the same formula by the same time scheme and dosage for a minimum period of 1 month and a maximum period of 3 months. All cases had minimum follow up period of six months. Results: Uncontrolled diabetes caused Sixth nerve palsy in 90 cases in this study while the disease was controlled only in 3 cases at the time of presentation. The recovery was achieved in 80 cases while surgery was indicated in 4 cases. Partial recovery was achieved in 9 cases. This study included only one cases of bilateral simultaneous diabetic 6th nerve palsy that had full recovery during the study period. One case had third cranial nerve palsy 7 months after recovery from 6th nerve palsy. The earliest full recovery came after 3 weeks while the latest recovery came after 4 months and 3 weeks. The rate of recovery was variable. Full diabetic control was achieved in all cases combined with instituted therapy. All cases that had full recovery received treatment within 4 weeks of the onset of the disease while all cases that needed surgery received treatment after 4 weeks of the onset of sixth nerve palsy. Conclusion: Combined vitamin B therapy used in the early stage of diabetic 6th nerve palsy showed a good result on the rate of recovery as well as the overall outcome of cases of diabetic 6th nerve palsy.
Email: sherif_kamel_1999@yahoo.com