눈벌림 마비의 임상 양상 및 경과

• 영문명: Clinical Characteristics and Course in Divergence Paralysis
• 발행기관: 대한안과학회
• 저자명: 이행진 신용일 이연희,Haeng Jin Lee, MD, Yong Il Shin, MD, Yeon Hee Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number12, 1878~1882쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.12.15

영문 초록

Purpose: To improve the understanding of divergence paralysis by identifying its clinical characteristics. Methods: We performed a retrospective chart review analysis of patients diagnosed with divergence paralysis that were followed up for at least 6 months. Clinical features, including disease onset, course, neurological examinations, and imaging studies were evaluated. Results: Fifteen patients were included in the present study and the average age was 55.6 years. Thirteen patients had an acute onset and 2 had an insidious onset. The initial distance deviation ranged from 4 to 14 prism diopters (PD) of esotropia (mean, 8 PD esotropia) and near deviation ranged from 6 PD exophoria to 10 PD esophoria (mean, 1.2 PD esophoria). None of the patients developed additional neurological disorders associated with divergence paralysis during the follow-up period. Eleven of 13 patients with primary divergence paralysis continued to depend on the prism glasses with the same diopters. In the 2 patients with secondary divergence paralysis, distant diplopia disappeared as the underlying disease improved. Conclusions: In our study, the majority of divergence paralysis was not associated with neurological diseases and the patients had an acute onset. Primary divergence paralysis lasted for an extended period. However, secondary divergence paralysis was resolved quickly as the underlying disease improved.Korean Ophthalmol Soc 2014;55(12):1878-1882

키워드

Divergence insufficiency, Divergence paralysis, Divergence weakness