Unusual Presentation of an Uncommon Disease: 24-Hour Cyclic Esotropia
| Autor: | Victor Hugo Galicia-Alfaro, Myriam Retchkiman-Bret, Miguel Paciuc-Beja |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Thyroid pathology genetic structures business.industry 010102 general mathematics Case Report General Medicine medicine.disease 01 natural sciences eye diseases 03 medical and health sciences 0302 clinical medicine Cyclic esotropia lcsh:Ophthalmology lcsh:RE1-994 Ophthalmology 030221 ophthalmology & optometry medicine sense organs 0101 mathematics Presentation (obstetrics) Strabismus business Esotropia |
| Zdroj: | Case Reports in Ophthalmological Medicine, Vol 2019 (2019) Case Reports in Ophthalmological Medicine |
| ISSN: | 2090-6730 2090-6722 |
| Popis: | Cyclic esotropia is an extremely uncommon form of strabismus. Classically, it follows a 48-hour cycle with 24 hours of orthotropia and 24 hours of manifest esotropia. We are reporting the first case of cyclic esotropia with a 24-hour cycle. A 7-year-old hyperopic female was seen with an esotropia of 6-month duration. Hyperopic glasses were prescribed by another ophthalmologist prior to our evaluation of the patient. While wearing her glasses, esotropia occurred during the morning and early afternoon. After 3.00pm, her eyes were “straight.” Many photographs were reviewed, confirming the esotropia pattern. Neurological evaluation was normal, including imaging and blood work to rule out thyroid pathology and myasthenia. After seeing the patient multiple times at different hours on different days, the diagnosis of cyclic esotropia was made. Bimedial recessions were performed with good results. The patient was still “straight” at distance and near 2 years after surgery. |
| Databáze: | OpenAIRE |
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