[Home ] [Archive]   [ فارسی ]  
:: Volume 23, Issue 1 (Iranian Journal of Ophthalmology 2011) ::
2011, 23(1): 48-54 Back to browse issues page
Clinical Evaluation, Prevalence and Etiologic Factors in Patients with Ophthalmoplegia
Siamak Afshinmajd Dr., Hassan Ghasemi Dr. * , Mohammad Taher Rajabi Dr., Mohammad Jalili Dr., Mohammad Ebrahim Yarmohammadi Dr.
, ghasemi518@gmail.com
Abstract:   (11014 Views)

Purpose : Ophthalmoplegia makes many physicians to refer the patients to neurologists and/or ophthalmologists for neuro-ophthalmic evaluation. Ophthalmoplegia has different etiologies some of which may be very harmful and need urgent intervention. Prevalence of the disease is not obvious. This study is designed to evaluate the various etiologies and their prevalence in this disorder.

Methods : This descriptive case series study was conducted on 226 patients with ophthalmoplegia referred to adult neurology clinic between the years 2005 to 2009. An informed consent was taken, considering inclusion and exclusion criteria. All patients had a complete neurologic and ophthalmologic examination. Case based laboratory and imaging techniques were used to determine the etiology of the ophthalmoplegia. Data were analyzed by χ2 test. P<0.05 was considered significant.

Results : Totally 226 patients were enrolled, including 121 (53.5%) males and 105 (46.5%) female s (P>0.05). The age range was between 19-72 years (mean 56.2±11.2). Symptoms were unilateral in 215 (95%) patients. Most common etiologies were diabetes mellitus (16.8%), infectious disorders (14.6%), intracranial tumors (13.2%) and head trauma (11.1%). Other common etiologies were orbital tumors (7.1%), posterior communicating artery (PCA) aneurysm (5.3%), and orbital pseudo tumors (4.0%). The etiologic factors were not identified in 4% of cases.

Conclusion : Ophthalmoplegia has many different etiologies some of which such as aneurysms can be potentially very dangerous and need careful and urgent management, while some others can be easily treated. Management is very important and warrants the cooperation and intervention of ophthalmologists and neurologists simultaneously.

   

Iranian Journal of Ophthalmology 201123(1):48-54 © 2011 by the Iranian Society of Ophthalmology
Keywords: Ophthalmoplegia, Painful Ophthalmoplegia, Pain, Ocular Nerves
Full-Text [PDF 161 kb]   (2145 Downloads)    
Type of Study: Original | Subject: General
Send email to the article author

Add your comments about this article
Your username or Email:

Write the security code in the box >


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Afshinmajd S, Ghasemi H, Rajabi M T, Jalili M, Yarmohammadi M E. Clinical Evaluation, Prevalence and Etiologic Factors in Patients with Ophthalmoplegia. Iranian Journal of Ophthalmology. 2011; 23 (1) :48-54
URL: http://irjo.org/article-1-435-en.html


Volume 23, Issue 1 (Iranian Journal of Ophthalmology 2011) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
Persian site map - English site map - Created in 0.05 seconds with 30 queries by YEKTAWEB 3638