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A Case Report of an Idiopathic Bilateral Strabismus with Internal and External Palsy

내외전마비를 동반하는 특발성 양안사시 한의 증례보고 1례

  • Jung-Ah Byun (Dept. of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University ) ;
  • Yoon-Young Choi (Dept. of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University ) ;
  • Jong-Chan Baek (Dept. of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University ) ;
  • Hyun-A Jung (Dept. of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University ) ;
  • Ji-Eun Jeong (Dept. of Korean Pediatrics, College of Korean Medicine, Daejeon University)
  • 변정아 (대전대학교 한의과대학 한방안이비인후피부과학 교실) ;
  • 최윤영 (대전대학교 한의과대학 한방안이비인후피부과학 교실) ;
  • 백종찬 (대전대학교 한의과대학 한방안이비인후피부과학 교실) ;
  • 정현아 (대전대학교 한의과대학 한방안이비인후피부과학 교실) ;
  • 정지은 (대전대학교 한의과대학 한방소아과학 교실)
  • Received : 2023.10.04
  • Accepted : 2023.11.02
  • Published : 2023.11.25

Abstract

Objectives : The purpose of this study is to report the effect of Korean medical treatments on idiopathic bilateral strabismus. Methods : We treated a 43-year-old male idiopathic bilateral strabismus patient who was told to wait without a prescription as there was no problem in intraocular pressure test, fundus test, brain computed tomography, brain magnetic resonance imaging and angiography test, and cerebrospinal fluid test. The patient was admitted to Cheonan Korean medical hospital for 3 months to get Korean medical treatments including acupuncture, electroacupuncture, vapor treatment, pharmacopuncture therapy. The degree of improvement in idiopathic bilateral strabismus was determined by the objective measures of internal and external rotation disorders, and the patient's subjective opinions on eye pain and double vision discomfort. Results : The results of this patient showed distinct improvements on objective measures of internal and external rotation disorders in both eyes. Distance from the outer corner of the right eye when abducted decreased from 7mm to 0mm, and left eye decreased from 7mm to 0mm. Distance from the inner corner of the right eye when adducted decreased from 5mm to 0mm, and left eye decreased from 4mm to 0mm. In addition, eye pain decreased from 10 to 0 and diplopia decreased from 10 to 2 according to the patient's subjective opinions. Conclusions : This study shows the possibility that such medical treatment in Koreans can improve the rare idiopathic bilateral perspective among strabismus patients.

Keywords

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