![[Ocular Motor Nerve Palsies Caused by Paragliding Accidents].](/static/images/no-image.png)
Journal article
[Ocular Motor Nerve Palsies Caused by Paragliding Accidents].
- Lengwiler F Augenklinik, Abteilung für Strabologie und Neuroophthalmologie, Kantonsspital St. Gallen, Schweiz.
- Heckmann J Augenklinik, Abteilung für Strabologie und Neuroophthalmologie, Kantonsspital St. Gallen, Schweiz.
- Sturm V Augenklinik, Abteilung für Strabologie und Neuroophthalmologie, Kantonsspital St. Gallen, Schweiz.
- 2020-03-05
Published in:
- Klinische Monatsblatter fur Augenheilkunde. - 2020
Abducens Nerve Diseases
Accidents
Adult
Humans
Male
Middle Aged
Ocular Motility Disorders
Oculomotor Nerve Diseases
Retrospective Studies
Trochlear Nerve Diseases
English
BACKGROUND
Paragliding is a risk-taking adventure sport. It can be performed either individually or accompanied by a pilot in tandem formation. Paragliding, as well as other types of "extreme" sport, have gained popularity over the past few years. Injuries predominantly involve the lower extremities and the spinal column. Head injuries occur only rarely.
PATIENTS AND METHODS
Retrospective case series of three patients with ocular motor nerve palsies caused by paragliding accidents. Patients' characteristics with special emphasis on treatment strategies are reported.
RESULTS
Two men (41 and 56 years of age) suffered from open head injuries and one 56-year-old male from a closed head injury as part of polytrauma caused by paragliding accidents. All patients complained of double vision. The first patient showed a right abducens nerve palsy and elevation deficit due to a complex orbital fracture. Patient 2 had a traumatic right six nerve palsy. The third patient had a complex motility disorder with a bilateral abducens and trochlear nerve palsy. In all three cases, eye muscle surgery improved ocular motility. Two patients regained binocular single vision.
CONCLUSIONS
Characteristics of injuries caused by paragliding accidents depend on the trauma scenario. Injury pattern might differ widely. Ocular motor nerve palsies often accompany head trauma. Treatment is guided by common strategies for incomitant strabismus. These ocular motility disorders are often complex and require an individually tailored approach.
Paragliding is a risk-taking adventure sport. It can be performed either individually or accompanied by a pilot in tandem formation. Paragliding, as well as other types of "extreme" sport, have gained popularity over the past few years. Injuries predominantly involve the lower extremities and the spinal column. Head injuries occur only rarely.
PATIENTS AND METHODS
Retrospective case series of three patients with ocular motor nerve palsies caused by paragliding accidents. Patients' characteristics with special emphasis on treatment strategies are reported.
RESULTS
Two men (41 and 56 years of age) suffered from open head injuries and one 56-year-old male from a closed head injury as part of polytrauma caused by paragliding accidents. All patients complained of double vision. The first patient showed a right abducens nerve palsy and elevation deficit due to a complex orbital fracture. Patient 2 had a traumatic right six nerve palsy. The third patient had a complex motility disorder with a bilateral abducens and trochlear nerve palsy. In all three cases, eye muscle surgery improved ocular motility. Two patients regained binocular single vision.
CONCLUSIONS
Characteristics of injuries caused by paragliding accidents depend on the trauma scenario. Injury pattern might differ widely. Ocular motor nerve palsies often accompany head trauma. Treatment is guided by common strategies for incomitant strabismus. These ocular motility disorders are often complex and require an individually tailored approach.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1055/a-1097-5473
- PMID 32131125
- Persistent URL
- https://sonar.ch/global/documents/139806
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