Third cranial nerve palsy and Purtscher retinopathy in a child with multiple injuries.

Archivos de la Sociedad Espanola de Oftalmologia

PubMedID: 25443190

LarraƱaga-Fragoso P, Del-Barrio Z, Noval S, Pastora N, Royo A. Third cranial nerve palsy and Purtscher retinopathy in a child with multiple injuries. Arch Soc Esp Oftalmol. 2014;.
CASE REPORT
A 4 year-old girl was referred to our hospital after have suffered a severe accident. The patient was diagnosed with complete third nerve palsy in her right eye and Purtscher retinopathy in her left eye.

DISCUSSION
Purtscher retinopathy is a rare condition. The diagnosis is made on clinical ground and its treatment is not well defined although it is believed that systemic steroids could improve the visual outcome. Traumatic third nerve palsy has a poor spontaneous recovery. The use of botulinum toxin might be useful in children to improve the recovery rate, maintaining binocularity, and avoiding amblyopia in other cases.