TY - JOUR
T1 - Four-year follow-up of an elderly Japanese patient with distance Esotropia using magnetic resonance imaging
AU - Kono, Reika
AU - Ohtsuki, Hiroshi
AU - Hamasaki, Ichiro
AU - Seguchi, Jiro
AU - Morizane, Yuki
AU - Shiraga, Fumio
PY - 2019
Y1 - 2019
N2 - This report describes a case involving a Japanese patient with distance esotropia, who was followed-up for 4 years using magnetic resonance imaging (MRI). A 68-year-old woman with high myopia exhibited esotropia of 10 prism diopters (Δ) and right hypotropia of 5Δ; her axial lengths were 31.0 mm oculus dextrus (OD) and 30.7 mm oculus sinister (OS). Bilateral enlarged lateral rectus (LR)-superior rectus (SR) bands and posterior staphylomata were observed on orbital MRI. At the 4-year follow-up, her ocular deviation had deteriorated to esotropia of 18 Δ and right hypotropia of 8Δ; however, her axial lengths had scarcely changed (31.0 mm OD; 30.8 mm OS). The enlargement and rupturing of the bilateral LR-SR bands had worsened. Progressive enlargement and rupturing of the LR-SR bands, which are presumably related to aging and possibly linked to progressive connective tissue degeneration, may increase ocular deviation.
AB - This report describes a case involving a Japanese patient with distance esotropia, who was followed-up for 4 years using magnetic resonance imaging (MRI). A 68-year-old woman with high myopia exhibited esotropia of 10 prism diopters (Δ) and right hypotropia of 5Δ; her axial lengths were 31.0 mm oculus dextrus (OD) and 30.7 mm oculus sinister (OS). Bilateral enlarged lateral rectus (LR)-superior rectus (SR) bands and posterior staphylomata were observed on orbital MRI. At the 4-year follow-up, her ocular deviation had deteriorated to esotropia of 18 Δ and right hypotropia of 8Δ; however, her axial lengths had scarcely changed (31.0 mm OD; 30.8 mm OS). The enlargement and rupturing of the bilateral LR-SR bands had worsened. Progressive enlargement and rupturing of the LR-SR bands, which are presumably related to aging and possibly linked to progressive connective tissue degeneration, may increase ocular deviation.
KW - Age-related distance esotropia
KW - High myopia
KW - Hypotropia
KW - Magnetic resonance imaging
KW - Orbital pulley
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U2 - 10.11476/shinkeiganka.36.349
DO - 10.11476/shinkeiganka.36.349
M3 - Article
AN - SCOPUS:85078058590
VL - 36
SP - 349
EP - 356
JO - Neuro-Ophthalmology Japan
JF - Neuro-Ophthalmology Japan
SN - 0289-7024
IS - 3
ER -