Journal of Acupuncture Research

  • 제33권3호
  • /
  • Pages.169-179
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  • 2016
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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안와 골절로 유발된 복시 1례에 대한 한방치료 증례보고

A Case Report of Diplopia after an Orbital Wall Fracture Treated with Korean Medicine Treatment

  • 김정환 (경희대학교 한의과대학 침구의학교실) ;
  • 권민수 (경희대학교 한의과대학 침구의학교실) ;
  • 조대현 (경희대학교 한의과대학 침구의학교실) ;
  • 조희진 (경희대학교 한의과대학 침구의학교실) ;
  • 최지은 (경희대학교 한의과대학 침구의학교실) ;
  • 한지선 (경희대학교 한의과대학 침구의학교실) ;
  • 조예은 (경희대학교 한의과대학 침구의학교실) ;
  • 김용석 (경희대학교 한의과대학 침구의학교실) ;
  • 강중원 (경희대학교 한의과대학 침구의학교실)
  • Kim, Jung Hwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kwon, Min Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jo, Dae Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jo, Hee Jin (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Choi, Ji Eun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Han, Ji Sun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Cho, Ye Eun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Yong Suk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kang, Jung Won (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2016.08.10
  • 심사 : 2016.09.09
  • 발행 : 2016.09.20
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초록

Objectives : The purpose of this report is to introduce a case of diplopia caused by the fracture of the left orbital wall and to suggest Korean Medicine treatment including electroacupuncture as a possible method of conservative treatment. Methods : A 44-year-old male with diplopia, restricted ocular motility and facial paresthesia after the fracture of the left orbital wall was treated with Korean Medicine treatment from June 15, 2016 to July 15, 2016. Improvements of symptoms were measured by the diplopia questionnaire, cervical range of motion (CROM) diplopia examination, goniometer diplopia examination, subjective diplopia field and visual analogue scale (VAS). Results : During 4 weeks of treatment, the patient showed consistent improvement in the diplopia questionnaire score, range of diplopia and VAS of facial paresthesia. Conclusion : According to the results, Korean Medicine treatment would be a possible conservative treatment for diplopia due to a traumatic accident. Further studies are needed regarding possible long-term effects.

키워드

참고문헌

  1. Huh YE, Kim JS. General Approach to Diplopia. Clin Neuroophthalmol. 2013 ; 3(2) : 61-5.
  2. Oh SY, Yang TH. Ocular Misalignment and Diplopia. Clin Neuroophthalmol. 2012 ; 2(1) : 13-21.
  3. Um YS, Sim SY, Nam HJ, Kim KJ. A Clinical Case Report of Oculomotor Nerve Palsy. J Korean Med Ophthalmol Otolaryngol Dermatol. 2004 ; 17(3) : 126-30.
  4. Kim HJ, Lee GY, Kim YB. A Case Report of Traumatic Oculomotor Nerve Palsy Treated with Acupuncture and Herbal Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2004 ; 17(3) : 167-73.
  5. Jun HJ, Hwang U, Kim JI, Lee HM, Nam SS, Kim YS. Case Report of Oculomotor palsy patient treated with Electroacupuncture. The Acupunct. 2002 ; 33(2) : 200-7.
  6. Kim NK. One case of traffic accident induced paralytic strabismus (oculomotor nerve palsy) which was treated electroacupuncture at oculomotor muscles. J Korean Med Ophthalmol Otolaryngol Dermatol. 2008 ; 21(1) : 133-8.
  7. Han JS, Won JY, Kim MJ, Choi JE. The One Case Report of Strabismus of Traffic Accident Induced Abducence Nerve Paralysis Treated with Electro-acupuncture. J Korean Med Rehab. 2015 ; 25(3) : 111-7.
  8. Lee KJ, Kim HJ. One Case of Paralytic Strabismus. J Korean Med Ophthalmol Otolaryngol Dermatol. 2004 ; 17(3) : 120-5.
  9. Kim NK. One case of paralytic strabismus (oculomotor nerve palsy) which was treated electroacupuncture at oculomotor muscles. J Korean Med Ophthalmol Otolaryngol Dermatol. 2006 ; 19(3) : 232-6.
  10. Park JY, Kang SW, Moon MH, Hong SH, Hwang CY, Kang JR. A Clinical Case Report on Guillain-Barre Syndrome with diplopia. J Korean Med Ophthalmol Otolaryngol Dermatol. 2005 ; 18(3) : 102-7.
  11. Barton JJ. "Retinal diplopia" associated with macular wrinkling. Neurology. 2004 ; 63(5) : 925-7. https://doi.org/10.1212/01.WNL.0000137045.33870.9E
  12. Kim MS, Choi J, Kim JH, Kim JS, Lee JH. Clinical Features for Patients Presenting with Diplopia. J Korean Ophthalmol Soc. 2013 ; 54(11) : 1772-7. https://doi.org/10.3341/jkos.2013.54.11.1772
  13. Kang HJ, Ha MS. A clinical feature of the patients of orbital wall fracture with diplopia. J Korean Ophthalmol Soc. 2009 ; 50(7) : 969-75. https://doi.org/10.3341/jkos.2009.50.7.969
  14. Haug RH, Van Sickels JE, Jenkins WS. Demographics and treatment options for orbital roof fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 ; 93(3) : 238-46. https://doi.org/10.1067/moe.2002.120975
  15. Choi YT. The Acupuncture and Moxibustion. Seoul : Jipmoondang. 1991 : 1447-51.
  16. Li KL. Treatment of limb paralysis using lowfrequency deep electric stimulation. Med Tr Prom Ekol. 1995 ; (9) : 33-7.
  17. Oh SY, Kim TW. Examination for Diplopia. Clin Neuroophthalmol. 2011 ; 1(1) : 29-34.
  18. Jonathan MH, David AL, Mark JK. New Methods for Quantifying Diplopia. Ophthalmology. 2005 ; 112(11) : 2035-9. https://doi.org/10.1016/j.ophtha.2005.06.013
  19. Jonathan MH, Laura L, Sarah RH, Stephen JS, David AL. QuantifyingDiplopiawithaQuestionnaire. Ophthalmology. 2013 ; 120(7) : 1492-6. https://doi.org/10.1016/j.ophtha.2012.12.032
  20. Huaman AG, Sharpe JA. Vertical saccades in senescence. Invest Ophthalmol Vis Sci. 1993 ; 34(8) : 2588-95.