Parálisis del tercer nervio craneal y retinopatía de Purtscher en niña politraumatizada

  1. P. Larrañaga-Fragoso 1
  2. Z. del-Barrio 1
  3. S. Noval
  4. N. Pastora
  5. A. Royo 2
  1. 1 Hospital Universitario La Paz, IdiPaz, Madrid, ( Servicio de Oftalmología )
  2. 2 Hospital Universitario La Paz, IdiPaz, Madrid ( Servicio de Radiología )
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2015

Volume: 90

Issue: 7

Pages: 344-347

Type: Article

DOI: 10.1016/J.OFTAL.2014.03.017 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

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Abstract

Case report A 4 year-old girl was referred to our hospital after have suffered a severe accident. The patient was diagnosed with complete third nerve palsy in her right eye and Purtscher retinopathy in her left eye. Discussion Purtscher retinopathy is a rare condition. The diagnosis is made on clinical ground and its treatment is not well defined although it is believed that systemic steroids could improve the visual outcome. Traumatic third nerve palsy has a poor spontaneous recovery. The use of botulinum toxin might be useful in children to improve the recovery rate, maintaining binocularity, and avoiding amblyopia in other cases.