Predictive factors of surgical outcome in oculomotor nerve palsy

Cabrejas, L.; Hurtado-Ceña, Francisco Javier; Tejedor, Jaime

doi:10.1016/j.jaapos.2009.08.008

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…Cabrejas et al reported epidemiological data on oculomotor nerve palsy that there were 59.1% males, with no statistically significant difference between females and males (p = 0.574) [8]. Moreover, Ohguro et al reported finding differences in oculomotor nerve palsy with causative disease incidence according to sex, but they reported finding no significant difference in oculomotor nerve palsy with unknown cause incidence according to sex [9].…”

Section: Oculomotor Nervementioning

confidence: 99%

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Moriyama¹

2013

Sexual Dimorphism

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Section: Oculomotor Nervementioning

confidence: 99%

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Moriyama¹

2013

Sexual Dimorphism

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“…There have also been attempts to identify factors predictive of surgical outcome in third nerve palsy, and similar to these results, the preoperative deviation was predictive of more poor postoperative results. [ 19 ]…”

Section: Discussionmentioning

confidence: 99%

Strabismus Surgery Outcomes and Their Determinants in Patients with Chronic Sixth Nerve Palsy

Alghofaili

Sesma

Khandekar

2021

Middle East African Journal of Ophthalmology

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PURPOSE: Patients with chronic sixth nerve palsy (CSNP) comprise a heterogeneous population, and the optimal surgical solution remains uncertain. Here, we present the success rate and factors associated with the success of strabismus surgeries for CSNP. METHODS: This was a retrospective cohort study of patients with strabismus due to CSNP operated on between 2015 and 2019 in a tertiary eye hospital in central Saudi Arabia. Surgical success was defined as a horizontal deviation of ≤10 prism diopters (PDs) assessed at least 12 months after surgery. Differences between groups with respect to the primary outcome were assessed. RESULTS: Fifty-five patients were analyzed with a median follow-up of 24 (range 12–48) months. Superior rectus and inferior rectus transposition (34.5%) and medial rectus recession with lateral rectus resection (32.7%) were the main surgeries performed. The overall success rate was 67.3% (95% confidence interval 54.9–79.7). Bilateral CSNP (P = 0.05), a higher preoperative angle of deviation (P = 0.002), or a greater degree of preoperative limitation of abduction (P = 0.012), but not the type of surgery (P = 0.09), were more likely to result in an under-corrected outcome of >10 PD. The preoperative deviation angle showed a trend toward being associated with a poor outcome after surgery (P = 0.06). Six patients with high-angle deviation before surgery required second surgery. CONCLUSION: While the surgical procedure does not impact outcomes, the severity of preoperative horizontal deviation might impact surgical success and the need for reoperation. Patients with severe CSNP should be counseled appropriately about the chances of surgical success and the potential need for further interventions.

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“…Cabrejas et al reported from epidemiological data on oculomotor nerve palsy that there were 59.1% males, with no statistically significant difference between females and males ( p = 0.574) (Cabrejas et al, 2009). Moreover, Ohguro et al reported finding differences in oculomotor nerve palsy with causative disease incidence according to sex, but they reported finding no significant difference in oculomotor nerve palsy with unknown cause incidence according to sex (Ohguro et al, 1986).…”

Section: Discussionmentioning

confidence: 99%

Sex differences in morphometric aspects of the peripheral nerves and related diseases

Moriyama

Hayashi

Inoue

et al. 2016

NRE

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BACKGROUND: The elucidation of the relationship between the morphology of the peripheral nerves and the diseases would be valuable in developing new medical treatments on the assumption that characteristics of the peripheral nerves in females are different from those in males.METHODS: We used 13 kinds of the peripheral nerve. The materials were obtained from 10 Japanese female and male cadavers. We performed a morphometric analysis of nerve fibers. We estimated the total number of myelinated axons, and calculated the average transverse area and average circularity ratio of myelinated axons in the peripheral nerves.RESULTS: There was no statistically significant difference in the total number, average transverse area, or average circularity ratio of myelinated axons between the female and male specimens except for the total number of myelinated axons in the vestibular nerve and the average circularity ratio of myelinated axons in the vagus nerve.CONCLUSIONS: The lower number of myelinated axons in the female vestibular nerve may be one of the reasons why vestibular disorders have a female preponderance. Moreover, the higher average circularity ratio of myelinated axons in the male vagus nerve may be one reason why vagus nerve activity to modulate pain has a male preponderance.

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Predictive factors of surgical outcome in oculomotor nerve palsy

Cited by 7 publications

References 21 publications

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Strabismus Surgery Outcomes and Their Determinants in Patients with Chronic Sixth Nerve Palsy

Sex differences in morphometric aspects of the peripheral nerves and related diseases

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