Four-year follow-up of an elderly Japanese patient with distance Esotropia using magnetic resonance imaging

Reika Kono, Hiroshi Ohtsuki, Ichiro Hamasaki, Jiro Seguchi, Yuki Morizane, Fumio Shiraga

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)349-356
Number of pages8
JournalNeuro-Ophthalmology Japan
Volume36
Issue number3
DOIs
Publication statusPublished - 2019

Keywords

  • Age-related distance esotropia
  • High myopia
  • Hypotropia
  • Magnetic resonance imaging
  • Orbital pulley

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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