내외전마비를 동반하는 특발성 양안사시 한의 증례보고 1례
A Case Report of an Idiopathic Bilateral Strabismus with Internal and External Palsy
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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 7㎜ to 0㎜, and left eye decreased from 7㎜ to 0㎜. Distance from the inner corner of the right eye when adducted decreased from 5㎜ to 0㎜, and left eye decreased from 4㎜ to 0㎜. 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.
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 7㎜ to 0㎜, and left eye decreased from 7㎜ to 0㎜. Distance from the inner corner of the right eye when adducted decreased from 5㎜ to 0㎜, and left eye decreased from 4㎜ to 0㎜. 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.
참고문헌 (15)
- Kanski JJ, "Clinical ophthalmology", pp.517~ (2005), Jeongdam
- Lee SE, "Two Cases of Paralytic Strabismus Treated with Acupuncture and Herbal Medicine", J Korean Med Ophthalmol Otolaryngol Dermatol, 16(1), pp.169~ (2003)
- 이병욱, "『千金要方』에 기재된 藥浴療法에 관한 연구", 대한한의학원전학회지, 17(1), pp.198~217 (2004), 대한한의학원전학회
- The society of Korean medicine ophthalmology, otolaryngology and dermatology, "Korean medicine ophthalmology, otolaryngology;Part of ophthalmology", pp.49~ (2019), Globooks
- Camargo GB, "Paralytic strabismus: review of 24 years at "Santa Casa de São Paulo"", ArqBras Oftalmol, 70, pp.585~587 (2007)
- Mwanza JC, "Ocular motor nerve palsy : a clinical and etiological study", Indian J Ophthalmol, 54, pp.173~175 (2006)
- Richards BW, "Causes and prognosis in 4, 278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves", Am J Ophthalmol, 113, pp.489~496 (1992)
- Berlit P, "Isolated and combined paresis of cranial nerves Ⅲ, Ⅳ, and Ⅵ. A retrospective study of 412 patients", J Neurol Sci, 103, pp.10~15 (1991)
- 김서희, "침구 치료로 호전된 동안신경마비 치험 1례", 한방안이비인후피부과학회지, 35(2), pp.61~71 (2022), 대한한방안이비인후피부과학회
- 오세희, "A Case of Paralytic Strabismus Caused by Midbrain Infarction", 한방안이비인후피부과학회지, 32(2), pp.120~130 (2019), 대한한방안이비인후피부과학회[DOI]
- 김영빈, "국내 한의학 학술지에 게재된 사시 관련 논문들의 경향성 분석", 한방안이비인후피부과학회지, 34(1), pp.13~28 (2021), 대한한방안이비인후피부과학회[DOI]
- Song YL, "3 Cases of Paralytic Strabismus", J Korean Med Ophthalmol Otolaryngol Dermatol, 9(1), pp.141~ (1996)
- 박인기, "시신경을 침범한 밀러피셔증후군", 대한안과학회지, 51(12), pp.1676~1680 (2010), 대한안과학회
- 이정섭, "특발성 동안신경마비로 인한안검하수와 안구운동장애 환자의 치험1례", 동의생리병리학회지, 22(3), pp.699~702 (2008), 한의병리학회
- 조명재, "복시와 안검하수를 호소하는 혈관성 동안신경마비 환자에 대한 한의치료 증례보고 1례", 대한한방내과학회지, 40(3), pp.534~540 (2019), 대한한방내과학회[DOI]