갑상샘눈병증에서 심한 사시각변화를 보인 1예

• 영문명: A Case of Remarkable Variation of Strabismic Angle in Thyroid Ophthalmopathy
• 발행기관: 대한안과학회
• 저자명: 이연희 왕선진 황정민,Yeon-Hee Lee, M.D., Seon Jin Wang, M.D., Jeong-Min Hwang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number8, 1350~1355쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.08.15

영문 초록

Purpose: We report a patient with strabismus associated with thyroid ophthalmopathy whose condition changed remarkably for 6 years of a natural course. Case summary: A 69-year-old woman with Graves' disease presented with diplopia in April 1999. On examination, she showed left hypotropia of 50 prism diopters (Δ) accompanied by supraduction limitation and lid lag in the left eye. She was diagnosed with strabismus associated with thyroid ophthalmopathy and was observed without any intervention. In October 2000, her left hypotropia decreased to 16Δ, and esotropia of 14Δ developed. Both eyes showed limitation of supraduction, and the left eye showed limitation of abduction. In December 2003, the esotropia increased to 35Δ, and the direction of vertical strabismus changed to 40Δ of right hypotropia. Supraduction limitation of the right eye and abduction restriction of both eyes increased, and infraduction limitation of the left eye developed. In April 2005, esotropia increased to 75Δ, and the amount of right hypotropia was 35Δ. The abduction limitation of both eyes increased. Conclusion: The natural course of strabismus associated with thyroid ophthalmopathy can show continuous and remarkable changes. J Korean Ophthalmol Soc 49(8):1350-1355, 2008

키워드

Strabismus, Thyroid ophthalmopathy