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NR 4-5/2004
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Zastosowanie toksyny
botulinowej jako testu diagnostycznego w przypadku obustronnego
zespołu Stillinga – Türka – Duane’a (STD) wykrytego w trakcie
przygotowań do operacji zaćmy
Using a botuline toxin
diagnostic test in a case of bilateral Stilling – Türk – Duane (STD)
Syndrome found during preparation for cataract surgery
Anna Broniarczyk-Loba, Wojciech Omulecki,
Olimpia Nowakowska, Beata Latecka-Krajewska
Z Kliniki Chorób Oczu i Przyklinicznej Poradni Leczenia Zeza
Uniwersytetu Medycznego w Łodzi
Kierownik: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: The
presentation of complex procedures in preoperative
diagnosis, allowing the evaluation of reaction of a
patient with bilateral STD syndrome, to a potential
change in the long-lasting ocular motility disturbances
and corrective head position.
Material and methods: The botuline toxin was
injected into the medial rectus muscle of the eye with
greater motility disturbance in convergent strabismus.
It was discovered during preparation for cataract
surgery in a 45 years old female with STD Syndrome I
type. Due to reduced visual acuity the diagnosis of
binocular vision were performed after bilateral cataract
surgery. We were afraid that the fixed sensory status of
the patient would change, and therefore we performed
botuline injections. Strabismus angle, ocular motility
and diplopia were assessed and compared.
Results: The reduction of strabismus angle was
achieved with no diplopia. The patient no longer needed
the corrective head position, with binocular vision
present while looking straight ahead. Also, a slight
improvement was obtained in the abduction motility of
the eye to which botuline toxin was injected.
Conclusion: Preoperative diagnostic botuline
toxin injection into the rectus medial muscle of the eye
with greater motility disturbance, gives an effect of
strabismus reduction. This allows for further decisions
of whether, and what type of surgical treatment should
be performed. |
| Słowa kluczowe: |
zespół Stillinga – Türka –
Duane’a, toksyna botulinowa, leczenie zeza. |
| Key words: |
Duane’s retraction
syndrome, botuline toxin, squint treatment. |
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