Insidious Myopic Comitant Esotropia in a Teenager.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL

International Medical Case Reports Journal Pub Date : 2024-11-11 eCollection Date: 2024-01-01 DOI:10.2147/IMCRJ.S488472

Phantaraporn Tangtammaruk, Osamu Hieda

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引用次数: 0

Abstract

Purpose: To describe the history, clinical presentation, investigation, and management of a case of insidious myopic comitant esotropia (IMCE).

Methods: Demonstration of a rare case report of IMCE, including history of onset, angle of deviation, refractive error, and treatment.

Results: We report a case of a 15-year-old patient presenting with progressive horizontal diplopia first at distance and eventually at near for 2 years. He had a history of 6 hours of smartphone usage per day. Orthoptic examination showed esotropia of 35 prism diopters (PD) at distance and 30 PD at near. Neuroimaging was normal. The patient underwent bilateral medial recession of 5.5 mm. After 8 months of follow-up, the patient was orthophoric, and full stereopsis was restored.

Conclusion: Our case demonstrated the insidious onset of myopic comitant esotropia in a teenager in whom excessive smartphone use could have accelerated the onset of the disease. Augmented bilateral medial rectus recession yielded a good outcome.

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一名青少年的隐性近视合并内斜视

目的：描述一例隐匿性近视合并内斜（IMCE）的病史、临床表现、检查和治疗：展示一例罕见的 IMCE 病例报告，包括发病史、偏斜角度、屈光不正和治疗方法：我们报告了一例 15 岁患者的病例，该患者先是出现渐进性水平复视，先是远视，最后是近视，持续了 2 年。他有每天使用智能手机 6 小时的病史。视力矫正检查显示，远视为 35 棱镜屈光度 (PD)，近视为 30 棱镜屈光度 (PD)。神经影像学检查正常。患者接受了双侧内侧后缩 5.5 毫米的手术。经过 8 个月的随访，患者的视力恢复正常，立体视也完全恢复：结论：我们的病例表明，青少年近视合并内斜视是一种隐匿性疾病，过度使用智能手机可能会加速该病的发生。增强双侧内侧直肌后退术取得了良好的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

135

审稿时长

16 weeks

期刊介绍： International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.