Acute Onset Isolated Abducens Paralysis After Exposure to Arc Welding

Öz

Exposure to welding is associated with many diseases, especially some of the eye injuries. We present a 49-year-old male patient applied to us with the complaints of double vision and blurred vision for a week. The symptoms started after looking welding machine light for a few minutes without protective glasses. After excluding another causes, the diagnosis of idiopathic abducens paralysis was made. As a result of exposure to metals and ultraviolet radiation, conjunctival disorders, presbyopia, refractive errors, corneal damage, and retinal pathologies can be seen in patients. It is also known that UV is a stress factor that will initiate reactions that lead to apoptosis of neurons. We think that exposure to UV rays may have played a role in the possible etiological process in our case.The patient was followed up with conservative treatment and all symptoms resolve within a month.

Anahtar Kelimeler

• : abducens paralysis
• welding
• double vision

Kaynakça

1. 1) Amani F, Bahadoram M, Hazrati S. Evaluation of occupational injuries among welders in Northwest Iran. Journal of Preventive Epidemiology. 2017; 2(2): 1–5.
2. 2) Fiebai B, Awoyesuku EA. Ocular injuries among industrial welders in Port Harcourt, Nigeria. Clinical Ophthalmology. 2011; 5: 1261–1263.
3. 3) Kwaku Tetteh KK, Owusu R, Axame WK. Prevalence and Factors Influencing Eye Injuries among Welders in Accra, Ghana. Adv Prev Med. 2020:2170247.
4. 4) Lombardi DA, Pannala R, Sorock GS, Wellman H, Courtney TK, Verma S, Smith GS. Welding related occupational eye injuries: a narrative analysis. Inj Prev. 2005; 11(3): 174-9.
5. 5) Rush JA, Younge BR. Paralysis of cranial nerves III, IV, and VI. Cause and prognosis in 1,000 cases. Arch Ophthalmol. 1981; 99: 76–9.
6. 6) Patel SV, Mutyala S, Leske DA, Hodge DO, Holmes JM. Incidence, associations, and evaluation of sixth nerve palsy using a population-based method. Ophthalmology. 2004; 111: 369–75.
7. 7) Elder C, Hainline C, Galetta SL, Balcer LJ, Rucker JC. Isolated Abducens Nerve Palsy: Update on Evaluation and Diagnosis. Curr Neurol Neurosci Rep. 2016; 16(8): 69.
8. 8) Moster ML, Savino PJ, Sergott RC, Bosley TM, Schatz NJ. Isolated sixth-nerve palsies in younger adults. Arch Ophthalmol. 1984; 102(9): 1328-1330.

9. 9) Graham C, Mohseni M. Abducens Nerve Palsy. [Updated 2021 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482177/