{"title":"一名青少年的隐性近视合并内斜视","authors":"Phantaraporn Tangtammaruk, Osamu Hieda","doi":"10.2147/IMCRJ.S488472","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To describe the history, clinical presentation, investigation, and management of a case of insidious myopic comitant esotropia (IMCE).</p><p><strong>Methods: </strong>Demonstration of a rare case report of IMCE, including history of onset, angle of deviation, refractive error, and treatment.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"945-948"},"PeriodicalIF":0.7000,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566586/pdf/","citationCount":"0","resultStr":"{\"title\":\"Insidious Myopic Comitant Esotropia in a Teenager.\",\"authors\":\"Phantaraporn Tangtammaruk, Osamu Hieda\",\"doi\":\"10.2147/IMCRJ.S488472\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To describe the history, clinical presentation, investigation, and management of a case of insidious myopic comitant esotropia (IMCE).</p><p><strong>Methods: </strong>Demonstration of a rare case report of IMCE, including history of onset, angle of deviation, refractive error, and treatment.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":14337,\"journal\":{\"name\":\"International Medical Case Reports Journal\",\"volume\":\"17 \",\"pages\":\"945-948\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2024-11-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566586/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Medical Case Reports Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/IMCRJ.S488472\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Medical Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/IMCRJ.S488472","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Insidious Myopic Comitant Esotropia in a Teenager.
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
