A Case of Extraocular Muscle Distrubance Following Orbital Trauma Treated with Botulinum Toxin Injection.
- Author:
Jae Chan KIM
1
;
Hyun Nam KOO
;
Bon Sool KOO
Author Information
1. Department of Ophthalmology, College of Medicine, Choong-Ang University, Korea.
- Publication Type:Case Report
- MeSH:
Adipose Tissue;
Adult;
Botulinum Toxins*;
Diplopia;
Ethmoid Sinus;
Foreign Bodies;
Humans;
Muscles;
Muscular Disorders, Atrophic;
Orbit*;
Sphenoid Sinus
- From:Journal of the Korean Ophthalmological Society
1988;29(2):425-432
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In the case presented a Botulinum toxin was injected into the extraocular muscles to treat limitation of eyeball movement due to retention of a metallic foreign body in the orbit. A 32-year-old man had had a major complaint of exohypotropia with diplopia for 15 years and a routine X-ray examination and C-T scan of the orbit revealed an approximately 5 cm long metallic foreign body bridging the right retrobulbar space, the right ethmoid sinus and the sphenoid sinus. During the course of extracting the foreign body, a lesion on the muscle, fatty tissue and fibrotic adhesion, resulting in disuse atrophy or mechanical damage of the right medial rectus and right superior rectus appeared likely. The injection of 5 units of Botulinum toxin into both the right lateral rectus and the right inferier rectus appeared clinically successful after 6 months, resulting in orthophoria and diminishing diplopia.
