ophthalmology-congress-2016_scientifictracks-abstracts

17 / 32

Notes:
Page 37
Ophthalmology Congress 2016
December 05-06, 2016
Volume 7 Issue 11(Suppl) J Clin Exp Ophthalmol
ISSN: 2155-9570 JCEO, an open access journal
conferenceseries .com
December 05-06, 2016 Madrid, Spain
7th European Ophthalmology Congress
Wino Vrieda Vierlia, J Clin Exp Ophthalmol 2016, 7:11(Suppl)
A case of traumatic isolated unilateral sixth cranial nerve palsy
Wino Vrieda Vierlia
Saiful Anwar Hospital Malang, Indonesia
Traumatic isolated sixth cranial nerve palsy is a rare condition that has been reported to be as low as 1% to 2.7% following
traumatic brain injury. The sixth nerve innervates the ipsilateral lateral rectus which abducts the eye. Isolated loss of lateral
gaze with no other cranial nerve signs and muscular entrapment is thought to be resulted from an injury to the peripheral
nerve along its course from the brain stem to the lateral rectus. We presented a case of traumatic isolated unilateral sixth cranial
nerve palsy in a 44-year-old female patient who was referred to our department with diagnosis of head trauma and multiple
facial fractures after an alleged motor vehicle accident. She had suffered traumatic brain injury and transient altered level of
consciousness. She complained of diplopia and restriction movement in the lateral gaze of left eye with no diminution of vision
noted in both eyes. An urgent brain magnetic resonance imaging (MRI) revealed zygomaticomaxillary complex fractures
and retrobulbar hemorrhage of the left eye with cerebral edema. Eye examination showed isolated sixth cranial nerve palsy.
Vision tests and fundoscopy examination were normal. She was undergone open reduction and internal fixation to treat the
facial fractures. Systemic steroid treatment with tapering dose was also given postoperatively. Improvement of the lateral gaze
restriction and reduction of diplopia were gained after ten weeks of follow up.
Biography
Wino Vrieda Vierlia has completed her Medical degree at University of Brawijaya, Indonesia in 2007. She has been interested in Neuro-ophthalmology subdivision and
has joined some courses to improve the knowledge. She has attended several international ophthalmology conferences.