A Rare Case of Penetrating Trauma Resulting in Isolated Third Nerve Palsy

Caleb StoryUniversity of South Carolina Department of Opthalmology, Columbia, South Carolina, USA;Palmetto Health, Columbia, South Carolina, USA

Michael PattersonPalmetto Health, Columbia, South Carolina, USA;Department of Ophthalmology, University of South Carolina School of Medicine Columbia, South Carolina, USACorrespondence[email protected]

Wilson McWilliamsPalmetto Health, Columbia, South Carolina, USA;Department of Ophthalmology, University of South Carolina School of Medicine Columbia, South Carolina, USA

Bethany Bray MarkowitzPalmetto Health, Columbia, South Carolina, USA;Department of Ophthalmology, University of South Carolina School of Medicine Columbia, South Carolina, USA

ABSTRACT

A 23-year-old male presented to the emergency department with right eye pain, right upper eyelid ptosis, blurry vision, and binocular diplopia that developed immediately after he bent over in a parking lot and the antenna of a car penetrated his right upper eyelid. An extensive workup was performed, and he was found to have an isolated traumatic oculomotor nerve palsy with pupil involvement. No other ocular findings of a traumatic injury were present. The patient was observed for 14 months, during which he continually improved, with almost complete resolution of his diplopia, anisocoria, and ptosis.

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A Rare Case of Penetrating Trauma Resulting in Isolated Third Nerve Palsy

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