• Title/Summary/Keyword: Exotropia

Search Result 18, Processing Time 0.025 seconds

12 Cases of Strabismus Treated by Acupuncture and Herb Medicine (사시질환(斜視疾患)의 한방치험(韓方治驗) 12례(例))

  • Kim, Joong-Ho
    • The Journal of Korean Medicine
    • /
    • v.29 no.1
    • /
    • pp.207-222
    • /
    • 2008
  • Objectives : I report 12 cases of strabismus presented at [Oriental Medical Clinic of Kim Joong-Ho and Strabismus - Amblyopia Clinic, East-West Neo Medical Center, Kyung Hee University] from 2nd March 2006 to 29th February 2008. All have experienced good improvement of strabismus by treatment with Oriental medicine. Methods : Patients were treated with acupuncture, infra-red and herb medicine. The acupuncture points of (B2) 絲竹空(TE23) 承泣(S1) 陽白(G14) 太陽(E36) were mainly used. Herb medicines prescribed were Gagamseunggal-tang and Gamiboik-tang. Results : 9 cases of strabismus were caused by paralysis of the sixth cranial nerve and the third cranial nerve, while 3 cases happened with concomitant strabismus of esotropia and exotropia. They were treated to recover paralytic muscles and unelastic muscles around the eyes and face. Treatment took between 1 and 8 months. Conclusions : In the results of this study, treatment was effective to correct position at the eyeball. I report it is possible to treat strabismus successfully with Oriental medicine in a shorter time compared to western medicine.

  • PDF

A Case of Treatment of Blepharoptosis (痲痺性 斜視로 因한 上瞼下垂 患者 1例에 對한 臨床的 考察)

  • Yu Mi-koung;Jeong Dong-hwan;park Su-yeon;Choi Jung-hwa;Kim Jong-han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
    • /
    • v.17 no.2
    • /
    • pp.159-164
    • /
    • 2004
  • Blepharoptosis is the state that upper eyelid sagges, palpebal fissure becomes narrow due to disorder of a levator palpebrae superioris or innervation. It affects not only the physical vision but also mental shrink. In the view of oriental medicine, there are various causes, among them mainly cause is the deficiency of spleen Gi. The other hand, we treated a patient who suffered from blepharoptosis(with headache, exotropia, dizziness) differentiate from stagnation of Gi(energy) and blood stasis with Sungihwalhyeoltang(順氣活血湯) mostly. After about 40days of Sungihwalhyeoltang(順氣活血湯) centered treatment, acupunture, we observed an improvement Based on this experience, it is considered that stagnation of Gi(energy) and blood stasis can bring about blepharoptosis.

  • PDF

Ocular Glioma in a Dog (개에서 발생된 안구 내 신경아교종)

  • Lee, Su-Hyung;Lee, Min-Su;Go, Du-Min;Lim, Jae-Hyun;Kim, Dae-Yong;Park, Young-Woo
    • Journal of Veterinary Clinics
    • /
    • v.32 no.1
    • /
    • pp.123-126
    • /
    • 2015
  • A 14-year-old, male Shih-tzu was presented with glaucoma in the left eye. Menace response was negative in the left eye. On ophthalmic examination, exotropia, buphthalmos, bulging of upper lateral globe and episcleral injection was detected in the left eye. Also, there was corneal edema, corneal pigmentation and hyphema in the left eye. The pupil was difficult to observe due to corneal lesions in the left eye. On ultrasonographic examination, an amorphous large mass protruding from the region of the optic disc into the vitreous was observed in the left eye. Enucleation was performed in the left eye. Histologically, the left intraocular mass was diagnosed as glioma. Immunohistochemically, the neoplastic cells were positive to glial fibrillary acidic protein.

Injury of the Medial Rectus Muscle by Using a Microdebrider During Endoscopic Sinus Surgery: A Case Report

  • Choi, Yoon-Seok;Bai, Chang-Hoon;Song, Si-Youn;Kim, Yong-Dae
    • Journal of Yeungnam Medical Science
    • /
    • v.23 no.2
    • /
    • pp.240-246
    • /
    • 2006
  • A microdebrider is increasingly used in endoscopic sinus surgery. Although it has many advantages over conventional instruments, it has been associated with severe complications. We treated a case of rupture of the left medial rectus muscle after use of a microdebrider during endoscopic sinus surgery in a 50 year-old female patient who complained of binocular diplopia and exotropia. The patient showed marked limitation on adduction and about 40 prism diopters of left exodeviation. The orbital computed tomography showed a bony defect at the left medial orbital wall, and injury of the medial rectus muscle. The exodeviation was corrected after ophthalmologic surgery. We report a case of the rupture of the medial rectus muscle after use of a microdebrider during endoscopic sinus surgery and review the medical literature.

  • PDF

Study of Heterophoria Using Torrington Method in Third-year Student High School (토링톤법을 이용한 고 3 수험생들의 사위에 대한 고찰)

  • Ryu, Geun-Chang;Seong, Jeong-Sub
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.12 no.4
    • /
    • pp.91-94
    • /
    • 2007
  • This research was investigated to find out the examinees' refractive problems within heterophoria using Torrington method. The number of subjects ware approximately 327 and subjects were sourced from the 12th grade student at high school in Kwang-Ju city. Result obtained shows 21.4% of emmetropia and 78.6% of ametropia. Most of refractive errors were myopia and due to it's condition, frequency of ametropia and emmetropia at the similar rate. However, one that consist of refractive problems, it's myopia contains 74.9% of heterophoria. Due to emmetropia, horizontal heterophoria have 45.7% of exophoria and 4.3% of esophoria. Myopia shows 11.4% of esophoria and 63.5% of exophoria. Hozizonda heterophoria shows 5.7% of emmetropia and myopia of 22.4%, than average of esophoria shows $4.3P{\Delta}$ and case of myopia, it was $3.4P{\Delta}$. Case of Exphoria, emmetropia have $8.8P{\Delta}$ and within myopia $8.0P{\Delta}$. Vertical heterophoria owns $2.2P{\Delta}$ within emmetropia and case of myopia $4.3P{\Delta}$ was shown. Which shows myopia result value higher than emmetropia.

  • PDF

DENTAL TREATMENT IN A PATIENT WITH PIERRE ROBIN SYNDROME UNDER GENERAL ANESTHESIA : A CASE REPORT (피에르 로빈 증후군 환아의 전신마취 하 치아우식 치료 증례 보고)

  • Ryu, Jiyeon;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Chong-Chul;Lee, Sang-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
    • /
    • v.12 no.2
    • /
    • pp.87-91
    • /
    • 2016
  • Pierre Robin syndrome (PRS) is characterized by the triad of congenital mandibular hypoplasia, glossoptosis and cleft palate. Infant PRS patients are frequently suffering from upper airway obstruction, gastroesophageal reflux and growth retardation caused by above mentioned problems. We report a dental caries treatment of 3-year old girl with Pierre Robin syndrome with multiple caries. The cause of multiple caries was mainly presumed as patient's eating habit caused by her general condition. She had some feeding problems and had history of gastric tube. She was still using milk bottle and took more than an hour to finish a meal. The treatment was performed under general anesthesia considering patient's condition; mild autism, poor cooperation and respiratory problem due to micrognathia. Severely affected upper incisors were treated with pulp treatment and restored with zirconia crown for esthetic purpose. Lower incisors were treated with pulp treatment and restored with composite resin. Upper right first primary molar was restored with stainless steel crown and other primary molars were treated with composite resin. There were no postoperative complications. According to her parents, the patient's compliance to oral hygiene management was greatly improved after the treatment since she was very pleased with the esthetic result and highly motivated by her looks. The treatment without sedation or general anesthesia would be possible once the airway is improved as the mandible grows.

Trochlear Nerve Palsy Caused by Quadrigeminal Cistern Lipoma (사구수조지방종에 의한 도르래신경마비 1예)

  • Choi, Nam Hyeon;Kim, Won Jae;Kim, Myung-Mi
    • Journal of The Korean Ophthalmological Society
    • /
    • v.59 no.11
    • /
    • pp.1087-1090
    • /
    • 2018
  • Purpose: To report a case of trochlear nerve palsy caused by quadrigeminal cistern lipoma located in the dorsal midbrain. Case summary: A 65-year-old male visited our clinic for intermittent vertical diplopia over 2-year period. Symptoms of diplopia had worsened over the past two weeks. He had no previous medical history except having had diabetes for 1 month. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Pupillary examination was not remarkable. Extraocular examination showed 4 prism diopters (PD) left hypertropia at distant gaze and 4 PD exotropia at near gaze, with adduction elevation of the left eye. The Bielschowsky head tilt test revealed 6 PD left hypertropia on the left gaze and orthotropia on the right tilt. Fundus examination showed excyclotorsion of the right eye and incyclotorsion of the left eye. Brain magnetic resonance imaging revealed quadrigeminal cistern lipoma. Prism glasses were prescribed to alleviate diplopia, and we followed up the lesions without further treatment. Conclusions: Trochlear nerve palsy can be caused by quadrigeminal cistern lipoma; however, it is uncommon for this condition to be caused by a compressive lesion. Prompt neuroimaging can be helpful to rule out the causes of this condition in patients with atypical symptoms.