성인에서의 급성 수직사시의 임상적 특징

• 영문명: Acute-Onset Vertical Strabismus in Adults
• 발행기관: 대한안과학회
• 저자명: 이윤하 김지업 라상훈,Yun Ha Lee, MD, Ji Eob Kim, MD, Sang Hoon Rah, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number11, 1767~1771쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.11.15

영문 초록

Purpose: To define the clinical characteristics of acute vertical strabismus in adults strabismus without known ocular and cranial external factors. Methods: We performed a retrospective study of 72 adult patients who developed acute vertical strabismus without known ocular and cranial external factors such as trauma or operation and were followed up for at least 6 months. Results: Undetermined cause (n = 41, 57%) was the most common etiology of acute vertical strabismus, followed by fourth cranial nerve palsy (n = 15, 20.8%), myasthenia gravis (n = 7, 9.7%), third cranial nerve palsy (n = 6, 8.3%), brain tumor (n = 2, 2.7%), and carotid-cavernous fistula (n = 1, 1.3%). The average vertical deviation at primary position was 7.2 prism diopter at initial visit. Thirty-eight (62.3%) patients recovered to orthophoria and 13 (21.3%) patients showed decreased level of diplopia. The average recovery period was 2.9 months. Ten cases remained as strabismus and 5 underwent surgery upon patient’s request. Conclusions: Unknown cause was the most common diagonosis of adult acute vertical strabismus without known ocular and cranial external factors. In the present study, 62.3% of patients recovered to orthophoria and 83.6% recovered without surgical procedures. J Korean Ophthalmol Soc 2013;54(11):1767-1771

키워드

Acute diplopia, Vertical diplopia, Vertical strabismus