This case report
describes features and surgical management in one patient that developed a worsening total III cranial nerve palsy in his right eye.
Our 45 year-old male patient worked for about 25 years in leather tanning
industry. He underwent medical history, routine blood test, eye exams that included visual acuity measurement,
slit-lamp examination, dilated retinal biomicroscopy and indirect ophthalmoscopy, fundus photography,
tonometry, corneal pachymetry,
Krimsky test, oculomotor examination and eye deviation
surgery. On examination of the fellow eye wasn’t found any disease. Stroke,
aneurysm and intracerebral causes of third nerve palsy were excluded, and medical history was negative for diabetes, cardiovascular disease, trauma,
neurological disease unless two previous polyneuropathiesepisodes
and one herpetic keratitis episode. Result of any neuroimaging studies were recorded (Our patients performed in hospital CT, MRI and MRI
angiography and all the testes were normal). To our knowledge third cranial
nerve palsy has never been observed in literature in leather workers. In
conclusion, it is important for ophthalmologists to evaluate carefully work
history and lifestyle persons and plan the surgical approach focusing the
different characteristics of these patients.
Cavalleri, A. and Cosi, V. (1978) Polyneuritis Incidence in Shoe Factory Workers: Cases Report and Etiological Considerations. Archives of Environmental Health, 33, 192-197. http://dx.doi.org/10.1080/00039896.1978.10667333
Buiatti, E., Cecchini, S., Ronchi, O., Dolara, P. and Bulgarelli, G. (1978) Relationship between Clinical and Electromyographic Findings and Exposure to Solvents, in Shoe and Leather Workers. British Journal of Industrial Medicine, 35, 168-173.