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Year : 2013  |  Volume : 61  |  Issue : 10  |  Page : 598-600

Isolated abducens nerve palsy with hyperhomocysteinemia: Association and outcomes

1 Department of Pediatric Ophthalmology, Strabismus and Neuro-ophthalmology, L V Prasad Eye Institute, GMRV Campus, Visakhapatnam, India
2 Department of Retina and Vitreous surgery, L V Prasad Eye Institute, GMRV Campus, Visakhapatnam, India
3 L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Andhra Pradesh, India
4 Shreya Eye Care Centre, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Virender Sachdeva
Pediatric Ophthalmology, Strabismus and Neuro-ophthalmology, Nimmagada Prasad Children's Eye Care Centre , L V Prasad Eye Institute, GMRV Campus, Hanumanthwaka Junction, Visakhapatnam - 530 040, Andhra Pradesh
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Source of Support: Hyderabad Eye Research Foundation, HERF, Hyderabad, Andhra Pradesh, India., Conflict of Interest: None

DOI: 10.4103/0301-4738.121089

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Ischemic abducens nerve palsy usually presents as isolated cranial nerve palsy in the middle aged and elderly patients with known risk factors such as diabetes mellitus, hypertension, dyslipidemia, carotid artery disease, etc., In this report, we describe four patients with isolated abducens nerve palsy who presented with an acute onset diplopia whose detailed history and examination were suggestive of an ischemic etiology. Detailed systemic and laboratory evaluation revealed hyperhomocysteinemia as the only potential risk factor. To the best of our knowledge this is the first report of association of hyperhomocysteinemia and isolated abducens nerve palsy.

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