Strabismus surgery for diplopia in chronic progressive external ophthalmoplegia
Background To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale. Design Retrospective interventional case series. Results Two patients, a 26-year-old male and a 36-year-old female, diagno...
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| Veröffentlicht in: | International ophthalmology 2019-01, Vol.39 (1), p.213-217 |
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| creator | Chatzistefanou, Klio I. Brouzas, Dimitrios Asproudis, Ioannis Tsina, Efthimia Droutsas, Konstantinos D. Koutsandrea, Chryssanthi |
| description | Background
To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale.
Design
Retrospective interventional case series.
Results
Two patients, a 26-year-old male and a 36-year-old female, diagnosed with chronic progressive external ophthalmoplegia presented with blepharoptosis and intermittent diplopia. Ocular motility examination was significant for bilateral profound impairment of adduction with relative preservation of abduction, infraduction and elevation. Control of intermittent exotropia gradually worsened over 3 and 1.5 years of follow-up, respectively, in the presence of documented stability of the angle of exodeviation. Strabismus surgery involving modest amounts of bilateral medial rectus resection and lateral rectus recessions was undertaken. Surgical intervention was successful in controlling alignment in primary position and alleviating diplopia and asthenopia after 9 and 8 years of follow-up time, respectively, despite slow progression of ophthalmoplegia.
Conclusion
Bilateral selective impairment of adduction and intermittent exotropia may be the presenting ocular motility disturbance in chronic progressive external ophthalmoplegia. Properly designed strabismus surgery may provide sustainable, in the midterm, control of alignment and symptomatic relief in selected patients with CPEO. |
| doi_str_mv | 10.1007/s10792-017-0781-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2019047080</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2018438612</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-93f61d278dd96849be1c4df6111cb587938501917c333eb4d74ef477917820263</originalsourceid><addsrcrecordid>eNp1kE1LxDAURYMoOo7-ADdScOOm-l7SNslSxC8YmIW6Dv1IZzK0TU1acf69GWdUEFwFXs69eTmEnCFcIQC_9ghc0hiQx8AFxnSPTDDlLKYZg30yAczSOOWAR-TY-xUASC6zQ3JEZSooTcWEzJ8HlxfGt6OP_OgW2q2j2rqoMn1je5NHpovKpbOdKaPe2YXT3pt3HemPQbsubyLbL4dl3rS2b_TC5CfkoM4br09355S83t-93D7Gs_nD0-3NLC4Zp0MsWZ1hRbmoKpmJRBYay6QKM8SySAWXTKSAEnnJGNNFUvFE1wnnYSIohO9NyeW2Nyz1Nmo_qNb4UjdN3mk7ekVDGhIOAgJ68Qdd2XGz-xclEiYypIHCLVU6673TteqdaXO3VghqY1ttbatgW21sq03mfNc8Fq2ufhLfegNAt4APV12Q-_v0_62fs4CJVw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2018438612</pqid></control><display><type>article</type><title>Strabismus surgery for diplopia in chronic progressive external ophthalmoplegia</title><source>SpringerNature Journals</source><creator>Chatzistefanou, Klio I. ; Brouzas, Dimitrios ; Asproudis, Ioannis ; Tsina, Efthimia ; Droutsas, Konstantinos D. ; Koutsandrea, Chryssanthi</creator><creatorcontrib>Chatzistefanou, Klio I. ; Brouzas, Dimitrios ; Asproudis, Ioannis ; Tsina, Efthimia ; Droutsas, Konstantinos D. ; Koutsandrea, Chryssanthi</creatorcontrib><description>Background
To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale.
Design
Retrospective interventional case series.
Results
Two patients, a 26-year-old male and a 36-year-old female, diagnosed with chronic progressive external ophthalmoplegia presented with blepharoptosis and intermittent diplopia. Ocular motility examination was significant for bilateral profound impairment of adduction with relative preservation of abduction, infraduction and elevation. Control of intermittent exotropia gradually worsened over 3 and 1.5 years of follow-up, respectively, in the presence of documented stability of the angle of exodeviation. Strabismus surgery involving modest amounts of bilateral medial rectus resection and lateral rectus recessions was undertaken. Surgical intervention was successful in controlling alignment in primary position and alleviating diplopia and asthenopia after 9 and 8 years of follow-up time, respectively, despite slow progression of ophthalmoplegia.
Conclusion
Bilateral selective impairment of adduction and intermittent exotropia may be the presenting ocular motility disturbance in chronic progressive external ophthalmoplegia. Properly designed strabismus surgery may provide sustainable, in the midterm, control of alignment and symptomatic relief in selected patients with CPEO.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-017-0781-2</identifier><identifier>PMID: 29582258</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Alignment ; Asthenopia ; Case Report ; Impairment ; Medicine ; Medicine & Public Health ; Motility ; Ophthalmology ; Ophthalmoplegia ; Patients ; Preservation ; Strabismus ; Surgery</subject><ispartof>International ophthalmology, 2019-01, Vol.39 (1), p.213-217</ispartof><rights>Springer Science+Business Media B.V., part of Springer Nature 2018</rights><rights>International Ophthalmology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-93f61d278dd96849be1c4df6111cb587938501917c333eb4d74ef477917820263</citedby><cites>FETCH-LOGICAL-c372t-93f61d278dd96849be1c4df6111cb587938501917c333eb4d74ef477917820263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-017-0781-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-017-0781-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29582258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chatzistefanou, Klio I.</creatorcontrib><creatorcontrib>Brouzas, Dimitrios</creatorcontrib><creatorcontrib>Asproudis, Ioannis</creatorcontrib><creatorcontrib>Tsina, Efthimia</creatorcontrib><creatorcontrib>Droutsas, Konstantinos D.</creatorcontrib><creatorcontrib>Koutsandrea, Chryssanthi</creatorcontrib><title>Strabismus surgery for diplopia in chronic progressive external ophthalmoplegia</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Background
To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale.
Design
Retrospective interventional case series.
Results
Two patients, a 26-year-old male and a 36-year-old female, diagnosed with chronic progressive external ophthalmoplegia presented with blepharoptosis and intermittent diplopia. Ocular motility examination was significant for bilateral profound impairment of adduction with relative preservation of abduction, infraduction and elevation. Control of intermittent exotropia gradually worsened over 3 and 1.5 years of follow-up, respectively, in the presence of documented stability of the angle of exodeviation. Strabismus surgery involving modest amounts of bilateral medial rectus resection and lateral rectus recessions was undertaken. Surgical intervention was successful in controlling alignment in primary position and alleviating diplopia and asthenopia after 9 and 8 years of follow-up time, respectively, despite slow progression of ophthalmoplegia.
Conclusion
Bilateral selective impairment of adduction and intermittent exotropia may be the presenting ocular motility disturbance in chronic progressive external ophthalmoplegia. Properly designed strabismus surgery may provide sustainable, in the midterm, control of alignment and symptomatic relief in selected patients with CPEO.</description><subject>Alignment</subject><subject>Asthenopia</subject><subject>Case Report</subject><subject>Impairment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Motility</subject><subject>Ophthalmology</subject><subject>Ophthalmoplegia</subject><subject>Patients</subject><subject>Preservation</subject><subject>Strabismus</subject><subject>Surgery</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAURYMoOo7-ADdScOOm-l7SNslSxC8YmIW6Dv1IZzK0TU1acf69GWdUEFwFXs69eTmEnCFcIQC_9ghc0hiQx8AFxnSPTDDlLKYZg30yAczSOOWAR-TY-xUASC6zQ3JEZSooTcWEzJ8HlxfGt6OP_OgW2q2j2rqoMn1je5NHpovKpbOdKaPe2YXT3pt3HemPQbsubyLbL4dl3rS2b_TC5CfkoM4br09355S83t-93D7Gs_nD0-3NLC4Zp0MsWZ1hRbmoKpmJRBYay6QKM8SySAWXTKSAEnnJGNNFUvFE1wnnYSIohO9NyeW2Nyz1Nmo_qNb4UjdN3mk7ekVDGhIOAgJ68Qdd2XGz-xclEiYypIHCLVU6673TteqdaXO3VghqY1ttbatgW21sq03mfNc8Fq2ufhLfegNAt4APV12Q-_v0_62fs4CJVw</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Chatzistefanou, Klio I.</creator><creator>Brouzas, Dimitrios</creator><creator>Asproudis, Ioannis</creator><creator>Tsina, Efthimia</creator><creator>Droutsas, Konstantinos D.</creator><creator>Koutsandrea, Chryssanthi</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Strabismus surgery for diplopia in chronic progressive external ophthalmoplegia</title><author>Chatzistefanou, Klio I. ; Brouzas, Dimitrios ; Asproudis, Ioannis ; Tsina, Efthimia ; Droutsas, Konstantinos D. ; Koutsandrea, Chryssanthi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-93f61d278dd96849be1c4df6111cb587938501917c333eb4d74ef477917820263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Alignment</topic><topic>Asthenopia</topic><topic>Case Report</topic><topic>Impairment</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Motility</topic><topic>Ophthalmology</topic><topic>Ophthalmoplegia</topic><topic>Patients</topic><topic>Preservation</topic><topic>Strabismus</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chatzistefanou, Klio I.</creatorcontrib><creatorcontrib>Brouzas, Dimitrios</creatorcontrib><creatorcontrib>Asproudis, Ioannis</creatorcontrib><creatorcontrib>Tsina, Efthimia</creatorcontrib><creatorcontrib>Droutsas, Konstantinos D.</creatorcontrib><creatorcontrib>Koutsandrea, Chryssanthi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chatzistefanou, Klio I.</au><au>Brouzas, Dimitrios</au><au>Asproudis, Ioannis</au><au>Tsina, Efthimia</au><au>Droutsas, Konstantinos D.</au><au>Koutsandrea, Chryssanthi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strabismus surgery for diplopia in chronic progressive external ophthalmoplegia</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>39</volume><issue>1</issue><spage>213</spage><epage>217</epage><pages>213-217</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Background
To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale.
Design
Retrospective interventional case series.
Results
Two patients, a 26-year-old male and a 36-year-old female, diagnosed with chronic progressive external ophthalmoplegia presented with blepharoptosis and intermittent diplopia. Ocular motility examination was significant for bilateral profound impairment of adduction with relative preservation of abduction, infraduction and elevation. Control of intermittent exotropia gradually worsened over 3 and 1.5 years of follow-up, respectively, in the presence of documented stability of the angle of exodeviation. Strabismus surgery involving modest amounts of bilateral medial rectus resection and lateral rectus recessions was undertaken. Surgical intervention was successful in controlling alignment in primary position and alleviating diplopia and asthenopia after 9 and 8 years of follow-up time, respectively, despite slow progression of ophthalmoplegia.
Conclusion
Bilateral selective impairment of adduction and intermittent exotropia may be the presenting ocular motility disturbance in chronic progressive external ophthalmoplegia. Properly designed strabismus surgery may provide sustainable, in the midterm, control of alignment and symptomatic relief in selected patients with CPEO.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>29582258</pmid><doi>10.1007/s10792-017-0781-2</doi><tpages>5</tpages></addata></record> |
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| source | SpringerNature Journals |
| subjects | Alignment Asthenopia Case Report Impairment Medicine Medicine & Public Health Motility Ophthalmology Ophthalmoplegia Patients Preservation Strabismus Surgery |
| title | Strabismus surgery for diplopia in chronic progressive external ophthalmoplegia |
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