ACUTELY DEVELOPING ISOLATED ABDUCENS PARALYSIS AFTER EXPOSURE TO ARC WELDING

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2022-11-01 DOI:10.33706/jemcr.1162781
Y. Değirmenci, A. Ayaslı
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Abstract

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.
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暴露于电弧焊后急性发展为孤立性外展麻痹
接触焊接与许多疾病有关,尤其是一些眼部损伤。我们介绍一位49岁的男性患者,他向我们提出了一周的复视和视力模糊的投诉。在没有戴防护眼镜的情况下看了几分钟焊机灯光后,症状开始出现。排除其他原因后,诊断为特发性外展神经麻痹。由于暴露于金属和紫外线辐射,患者会出现结膜疾病、老花眼、屈光不正、角膜损伤和视网膜病变。众所周知,紫外线是一种应激因子,会引发导致神经元凋亡的反应。我们认为暴露在紫外线下可能在我们病例的病因过程中发挥了作用。患者接受了保守治疗,所有症状在一个月内得到缓解。
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