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ARTICLES
Year : 1976  |  Volume : 24  |  Issue : 4  |  Page : 37

Sixth nerve paralysis following cholera innoculation


Govt. Medical College and Hospital, Nagpur, India

Correspondence Address:
S N Patil
Govt. Medical College and Hospital, Nagpur
India
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Source of Support: None, Conflict of Interest: None


PMID: 924620

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How to cite this article:
Patil S N, Padmawar B U, Chandra I. Sixth nerve paralysis following cholera innoculation. Indian J Ophthalmol 1976;24:37

How to cite this URL:
Patil S N, Padmawar B U, Chandra I. Sixth nerve paralysis following cholera innoculation. Indian J Ophthalmol [serial online] 1976 [cited 2021 Apr 19];24:37. Available from: https://www.ijo.in/text.asp?1976/24/4/37/31284

An unusual case of lateral rectus paralysis of right eye following the innoculation against cholera is described here because such a case is not reported previously in the ophthalmic literature.


  Case Report Top


H. S., a 16-year muslim female, attended the eye out patients department of Govt. Medical College and hospi­tal, Nagpur for the complaints of diplopia and deviation of the right eye inwards since 15 days. There was no history of injury to the affected eye. The relevant hist­ory was that 15 days earlier she was innoculated against cholera in her school. She developed fever and head­ache on the same day in the night and developed diplo­pia next day since morning. The fever lasted for three days while the diplopia was still persistent. On systemic examination nothing abnormal was detected except the involvement ofright sixth cranial nerve.

Right eye was having convergent paralytic squint. The primary angle of deviation was 15° and the angle of secondary deviation was 35° approximately. Rest of the movements were normal in both eyes Exter­nal examination of both eyes revealed no abnormality. Fundus examination also revealed no abnormality in both eyes.

All laboratory tests were negative.

Treatment

Occlusion of Right Eye was done to prevent diplopia and consequent discomfort.

Prednisone in tapering doses was given orally starting with, 40mg. daily in divided doses for 7 days. Then 30 mg. daily in divided doses for 5 days, 20 mg. daily for 5 days, 10 mg. daily for 5 days and finally 5 mg. daily for 15 days.

At the end of the treatment the diplopia completely vanished and the abduction movement of the right eye was restored to normal.


  Comments Top


Paralysis of extraocular muscle following vaccination against small pox or rabies are described in ophthalmic literature[1] but the incidence is very rare. This case of right sixth cranial nerve palsy occured following cholera innoculation and as far as we know, no other case of such occurrence has been reported previously.

 
  References Top

1.
Duke Elder, S., 1971, System of Ophthal„7, 750, Henry Kimpton London.  Back to cited text no. 1
    




 

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