Two hundred and thirteen patients with unilateral isolated sixth nerve
palsies were assessed to determine what proportion of them underwent
spontaneous recovery and over what period of time this recovery occurr
ed, All were primary ophthalmic referrals from which trauma was exclud
ed. In all, 78.4% of patients experienced spontaneous recovery of thei
r palsy, 36.6% recovering by 8 weeks and 73.7% by 24 weeks, Only 16.4%
failed to recover, Of this group, however, nearly 40% had serious und
erlying pathology accounting for their palsy.