Anticholinesterase Treatment for Patients With Paralytic Strabismus Following a Viper Bite
Journal of the Korean Ophthalmological Society
;
: 1698-1704, 2009.
Artículo
en Coreano
| WPRIM
| ID: wpr-174072
ABSTRACT
PURPOSE:
To describe the therapeutic effect of anticholinesterase treatment for patients with paralytic strabismus and blepharoptosis following a viper biteMETHODS:
A prospective non-comparative interventional case series study was designed including 6 patients with ophthalmic complications such as paralytic strabismus and blepharoptosis following a viper bite. Anticholinesterase (pyridostigmine) 60 mg was administered to patients 3 times a day in additional to conservative treatment including antivenom, antibiotics and tetanus toxoid. Patients underwent a measurement of deviation, diplopia test and MRD 1. Subjective evaluation of the diplopia symptoms was performed daily after treatment.RESULTS:
Subjective diplopia was relieved in 2 out of the 6 patients on the first day and in the other 4 patients on the second day. The angle of deviation decreased approximately 37% on the first day and ocular position became orthophoric on the third day in all patients. The blepharoptosis was completely resolved in 4 patients on the first day. No complication following anticholinesterase treatment was noticed.CONCLUSIONS:
Treatment using anticholinesterase for patients suffering from diplopia and blepharoptosis following a viper bite is an effective and safe treatment.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Mordeduras de Serpientes
/
Estrés Psicológico
/
Mordeduras y Picaduras
/
Blefaroptosis
/
Toxoide Tetánico
/
Estrabismo
/
Estudios Prospectivos
/
Diplopía
/
Antibacterianos
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2009
Tipo del documento:
Artículo
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