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May 1967

Aneurysms and Third Nerve Palsies: Ocular Status of Survivors

Author Affiliations

From the Howe Laboratory of Ophthalmology, Harvard University Medical School (Dr. Hepler), and the Department of Neurosurgery, Massachusetts General Hospital (Dr. Cantu), Boston. Dr. Hepler was a research fellow in Ophthalmology at the Howe Laboratory of Ophthalmology, Harvard University Medical School, Boston, and is presently at the Department of Neurosurgery, University of California Medical Center, San Francisco.

Arch Ophthalmol. 1967;77(5):604-608. doi:10.1001/archopht.1967.00980020606008

In order to assess the ultimate ocular status of patients following acute third nerve palsies due to intracranial aneurysms, 25 suitable patients were recalled for complete neuro-ophthalmologic evaluation. Utilization of a large number of patients, a long period of time between initial paralysis and reevaluation, attention to the patients' subjective status, and a complete ocular examination were considered important in order to provide valid information. Findings of the study are categorized under such headings as the pupil, eyelid movements, rotations of the globe, as well as subjective complaints. It is noted that the incidence of ocular abnormalities of longstanding following such third nerve palsies is very high (all patients examined had some such abnormality).

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