Botulinum Toxin as an Alternative to Treat the Spasm of the Near Reflex
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Título: | Botulinum Toxin as an Alternative to Treat the Spasm of the Near Reflex |
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Autor/es: | Laria Ochaíta, Carlos | Merino Suárez, María | Piñero, David P. | Gómez-Hurtado Cubillana, Arantxa | Pérez Cambrodí, Rafael J. |
Grupo/s de investigación o GITE: | Grupo de Óptica y Percepción Visual (GOPV) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía |
Palabras clave: | Accommodative spasm | Botulinum toxin | Esotropia | Near reflex |
Área/s de conocimiento: | Óptica |
Fecha de publicación: | 8-may-2014 |
Editor: | Informa Healthcare |
Cita bibliográfica: | Seminars in Ophthalmology. 2014, Early Online: 1-4. doi:10.3109/08820538.2014.912337 |
Resumen: | We describe the case of an eight-year-old girl with complaints of headaches and blurred vision (uncorrected visual acuity: 0.1 decimal) that showed on examination miotic pupils, pseudomyopia, no ocular motility restrictions, and no associated neurological disease. After initial treatment with cyclopentolate for two months, pseudomyopia persisted with an intermittent and variable esotropia. Spectacles of +1 both eyes and atropine 1% one drop daily were then prescribed. The situation improved and remained stable for several weeks, with pseudomyopia and esotropia reappearing later. Finally, botulinum toxin (2.5 iu Botox®) was injected in the medial rectus muscle on two occasions and a visual therapy program based on the stimulation of fusional divergence, diplopia, and stereopsis consciousness was recommended. This prescription was combined with the use of atropine during the first few weeks. Orthotropia and corrected distance visual acuity of 1.0 were found three months after treatment. The evolution and clinical results of this case report suggest that botulinum toxin in combination with other therapeutic alternatives may be useful in the treatment of spasm of the near reflex. |
URI: | http://hdl.handle.net/10045/46493 |
ISSN: | 0882-0538 (Print) | 1744-5205 (Online) |
DOI: | 10.3109/08820538.2014.912337 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © Informa Healthcare USA, Inc. |
Revisión científica: | si |
Versión del editor: | http://dx.doi.org/10.3109/08820538.2014.912337 |
Aparece en las colecciones: | INV - GOPV - Artículos de Revistas |
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2014_Laria_etal_SeminOphthal_final.pdf | Versión final (acceso restringido) | 181,35 kB | Adobe PDF | Abrir Solicitar una copia |
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