ISSN: 1300-0365 Dil: Türkçe
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Two Cases With Chronic Renal Failure Developing Ocular Paralysis
Sedef Kutluk*, Aycan Albayrak**, Feyza Önder***, Gülcan Kural****
* Dr., Ankara Numune Hastanesi 1. Göz Kliniği, Başasistan,** Dr., Ankara Numune Hastanesi 1. Göz Kliniği, Asistan,*** Doç.Dr., Ankara Numune Hastanesi, 1. Göz Kliniği,**** Dr., Ankara Numune Hastanesi 1. Göz Kliniği, Klinik Şefi, ANKARA Two patients with chronic renal failure who had developed ophthalmoplegia were reported. Case one had developed double vision because of acute sixth nerve paralysis and he had been treated by dialysis due to chronic pyelonephritis for the past three years. Case two reported diplopia due to bilateral isolated medial rectus paresis and he had required dialysis because of the chronic renal failure for the past six years. Their physical, neurological examinations and laboratory findings were normal except high levels of blood urea nitrogen and creatinin. Since their ophthalmoplegia had resolved after the correction of uremia and there were no other reason to explain the ophthalmoplegia, it was accepted that ophthalmoplegia were due to uremic toxins. Ophthalmologists should keep in mind that ophthalmoplegia secondary to üremic toxin may develop during the course of the disease in patients with chronic renal failure.Keywords: uremia, chronic renal failure, ophthalmoplegiaTurkiye Klinikleri J Ophthalmol 2000, 9:130-132
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