Strabismus Surgery in Patients With Ocular Neuromyotonia: Potential Unmasking of the Condition and Effective Management Tool

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Title Strabismus Surgery in Patients With Ocular Neuromyotonia: Potential Unmasking of the Condition and Effective Management Tool
Creator J. Anna Kim, MD; Federico G. Velez, MD; Stacy L. Pineles, MD
Affiliation Jules Stein Eye Institute and Department of Ophthalmology, University of California, Los Angeles
Abstract Classically defined as bilateral, symmetric, and progressive ophthalmoparesis with myopathic ptosis, chronic progressive external ophthalmoplegia (CPEO) rarely has been reported in the absence of ptosis. We describe 2 patients with CPEO and without ptosis who presented with binocular diplopia related to small-angle esodeviations, poor fusional amplitudes, and slow saccades. In both cases, hematological studies and neuroimaging ruled out alternative etiologies, whereas muscle biopsy showed findings of mitochondrial myopathy.
Subject Adolescent; Adult; Color Vision; Color Vision Defects; Cross-Sectional Studies; Disease Progression; Female; Humans; Male; Middle Older people; Multiple Sclerosis; Nerve Fibers; Optic Nerve; Optic Neuritis; Retinal Ganglion Cells; Tomography, Optical Coherence; Visual Acuity; Young Adult
OCR Text Show
Date 2016-09
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, September 2016, Volume 36, Issue 3
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s69922g8
Setname ehsl_novel_jno
ID 1276520
Reference URL https://collections.lib.utah.edu/ark:/87278/s69922g8
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