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: Incomitant strabismus typically results in intractable diplopia, blepharoptosis, ocularmotility disturbance, disturbance in pupil reaction and an unacceptable compensatory head or face posture.A complete clinico etiological profile is necessary for identifying the underlying risk factors and etiologypertaining to paralytic and restrictive strabismus which is imperative in prevention , early detection,managing the etiology and timely recovery in these patients.Objective: To study the clinico-etiological profile of patients with paralytic and restrictive strabismus in atertiary eye hospital.Material and Methods: Patients reporting to a tertiary eye hospital in north India and diagnosed withparalytic and restrictive strabismus, over a period of one year , were enrolled in the present study . Patientswere subjected to detailed ocular examination and evaluated for ocular motility or related disorders. Thisincluded detailed clinical history, ophthalmic examination, orthoptic workup , sensory evaluation, diplopiacharting, Hess charting, slit lamp examination and fundus examination . In patients of suspected restrictedstrabismus, forced duction test was performed. Relevant systemic investigations including blood pressure ,blood sugar and lipid profile were carried out . M.R.I orbit was done in every patient. Neuroimaging wasadvised in those patients where indicated.Results: 48 patients were diagnosed with incomitant strabismus and enrolled in the study. 81.3%were ofparalytic strabismus while 18.8 % were of restrictive strabismus. In the group of paralytic strabismus, 43.8% patients had sixth nerve palsy , 27.1% patients had third nerve palsy , 6.3% patients had fourth nervepalsy and combined nerve palsy patients were 4.2%. Analysing the etiology, out of total patients of paralyticstrabismus, 48.7% of cases were idiopathic, 25.6% were post traumatic, 15.4% were due to microvascularcauses , 5.1% of cases were due to intracranial anomalies an

Study of clinico-etiological profile of patients with paralytic and restrictive strabismus