Restrictive extraocular myopathy: A presenting feature of acromegaly

Autor: Ilse Claerhout, Steven Heireman, Christophe Delaey, Christian Decock
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Male
open globe injury
pituitary adenoma
susceptibility
phacomorphic glaucoma
lcsh:Ophthalmology
pseudophakic
esotropia
Beta-tracer protein
Medicine
cycloplegia
lens thickness
Diplopia
pars plana vitrectomy
neuroimaging
Early glaucoma
Retinoblastoma
ocular manifestations
relative afferent pupillary defect
Refractive errors
spectral domain optical coherence tomography
risk factor
Cyclopentolate
microperimetry
cerebrospinal fluid leakage
iris claw lens
Brief Communications
Adenoma
medicine.medical_specialty
axial length
preoperative visual acuity
Cataract
monovision
Anthrax
Acromegaly
orbital cellulitis
Humans
Intrastromal corneal ring segments
keraring
post-LASIK ectasia
Pituitary Neoplasms
survey
Foveal hypoplasia
ocular surface diseases
optic disc pallor
screening
microbiology
prognostic factors
progeria
medicine.disease
eye diseases
strabismus
macular hole
Ophthalmology
Binocular Diplopia
glaucoma
visual impairments
Schoolgirls
lcsh:RE1-994
extraocular myopathy
genetic structures
intraocular lens
Myopia
cycloplegic refraction
retinopathy of prematurity
risk factors
suprasellar tumor
diplopia
spectral optical coherence tomography / scanning laser ophthalmoscope
medicine.diagnostic_test
community-acquired methicillin-resistant Staphyloccus aureus
Middle Aged
Magnetic Resonance Imaging
medicine.anatomical_structure
Hutchinson-Guilford progeria syndrome
bleb leak
Dislocated nucleus
medicine.symptom
preseptal cellulitis
Esotropia
Orthoptic
Orbit (anatomy)
hypermetropia
Ocular trauma
Anterior chamber depth
retinal nerve fiber layer thickness
atropine
Keratomycosis
minimum inhibitory concentration
Inferior rectus muscle
prethreshold retinopathy of prematurity
prism
Accommodative esotropia
Blowout
restrictive myopathy
business.industry
Magnetic resonance imaging
Optic disc cupping
Blebitis
premature aging syndrome
X linked retinoschisis
natamycin
Surgery
Oculomotor Muscles
three-dimensional computed tomography
treatment outcome
presbyopia
sense organs
business
Zdroj: Indian Journal of Ophthalmology, Vol 59, Iss 6, Pp 517-519 (2011)
Indian Journal of Ophthalmology
ISSN: 1998-3689
0301-4738
Popis: A 45-year-old man presented with binocular diplopia in primary gaze for 1 year. Orthoptic evaluation showed 10-prism diopter right eye hypotropia and 6-prism diopter right eye esotropia. The elevation and abduction of the right eye were mechanically restricted. This was associated with systemic features suggestive of acromegaly. Magnetic resonance imaging (MRI) of the brain demonstrated a pituitary macroadenoma. An elevated serum insulin-like growth factor I level and the failure of growth hormone suppression after an oral glucose load biochemically confirmed the diagnosis of acromegaly. Computed tomography (CT) of the orbit demonstrated bilateral symmetrical enlargement of the medial rectus and inferior rectus muscle bellies. All tests regarding Graves-Basedow disease were negative. Although rare, diplopia due to a restrictive extraocular myopathy could be the presenting symptom of acromegaly.
Databáze: OpenAIRE