Dr. Meenakshi, Dr. Sudesh Kumar Arya, Dr. Ravi Kant Bamotra, Dr. Amit Raj
Aim: To study the incidence and clinical profile of patients with paralytic strabismus
Methods: A retrospective data of all the patients with paralytic strabismus was analyzed in terms of clinical diagnosis, etiology, associated co-morbidities and treatment required.
Results: A total of 164 patients were reviewed; 112 were males and 52 were females. 83% of patients had acquired strabismus, and 17% presented with congenital strabismus. 13% patients had 4th Nerve palsy, 31% had 3rd nerve palsy whereas 6th nerve palsy was seen in 52% of cases. About 8% of patient had bilateral involvement. Trauma was the most common cause accounting for 67% of cases followed by vascular causes, neoplasm and infections. About 50% of the patients recovered within 6 months; the vascular group had the shortest recovery time. About 22 % patients required surgical correction.
Conclusion: The outcome and the prognosis of paralytic strabismus depend upon the cause of the palsy. The patients with vascular etiology have the best prognosis. The congenital paralyti