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Blepharoptosis after traumatic third-nerve palsies.

G B Krohel

    American Journal of Ophthalmology
    |September 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Traumatic third-nerve palsies often result from auto accidents. Most patients recover fully within a year, but aberrant regeneration may occur; delaying surgery is recommended.

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    Area of Science:

    • Ophthalmology
    • Neurology
    • Trauma Surgery

    Background:

    • Blepharoptosis can result from traumatic third-nerve palsies.
    • Third-nerve palsies are frequently associated with head trauma, such as skull fractures from auto accidents.

    Purpose of the Study:

    • To evaluate clinical outcomes in patients with blepharoptosis secondary to traumatic third-nerve palsies.
    • To determine the prognosis and optimal timing for surgical intervention.

    Main Methods:

    • Retrospective review of clinical records for 16 patients with blepharoptosis due to traumatic third-nerve palsies.
    • Follow-up evaluation of recovery and presence of aberrant regeneration for at least one year.

    Main Results:

    • Ten out of 12 followed patients achieved complete recovery within one year.

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  • Over half of the patients exhibited aberrant regeneration, detectable as early as nine weeks post-trauma.
  • Orbital third-nerve dysfunction showed an excellent prognosis for spontaneous recovery without aberrant regeneration.

    • Conclusions:

    • Traumatic third-nerve palsies generally have a good prognosis for recovery.
    • Aberrant regeneration is a common finding but does not preclude recovery.
    • Surgical intervention for blepharoptosis secondary to traumatic third-nerve palsy should be delayed for at least one year, or longer if recovery is ongoing.