Clinical Features of Ocular Motility in Idiopathic Orbital Myositis
Abstract
1. Introduction
2. Materials and Methods
3. Results
3.1. Clinical Characteristics
3.2. Treatment Outcome
3.3. Relapsing Cases
4. Discussion
Author Contributions
Funding
Conflicts of Interest
Abbreviations
IgG4-RD | IgG4-related disease |
IgG4-ROD | IgG4-related ophthalmic diseases |
CT | computed tomography |
MR | magnetic resonance |
References
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Muscle | Number (%) | |
---|---|---|
Involved patterns * (Patient No.) | 4 muscles or more | 5 (16.7) |
3 muscles | 5 (16.7) | |
2 muscles | 8 (25.8) | |
1 muscle | 13 (41.9) | |
Lacrimal gland involvement | 3 (9.7) | |
Involved frequency * (Muscle No.) | Medial rectus | 22 (36.7) |
Lateral rectus | 14 (23.3) | |
Inferior rectus | 12 (20.0) | |
Superior rectus | 11 (18.3) | |
Superior oblique | 1 (1.7) |
Direction of EOM Limitation | Muscle | Number | Grading Scale of EOM Limitation (Mean ± SD) |
---|---|---|---|
In the same direction of the most affected muscle (palsy type, 14 patients) | Lateral rectus | 6 | −1.75 ± 1.17 |
Superior rectus | 6 | −1.58 ± 0.80 | |
Medial rectus | 2 | −2.50 ± 0.71 | |
Inferior rectus | 2 | −2.00 ± 1.41 | |
In the opposite direction of the most affected muscle (restriction type, 8 patients) | Medial rectus | 4 | −1.38 ± 0.48 |
Superior rectus | 3 | −1.67 ± 0.58 | |
Inferior rectus | 1 | −1.00 ± 0.00 |
Case | Initial Symptoms | Abnormal Imaging (1st Episode) | EOM Limitation (1st Episode) | Abnormal Imaging (2nd Episode) | EOM limitation (2nd Episode) | Interval to Relapse * (Weeks) | Total No. of Attacks | Total Period of Treatment (Weeks) | Acute Phase Treatment |
---|---|---|---|---|---|---|---|---|---|
1 | Lid swelling, Pain | LMR | L) Add −1.5 | LSR | L) Up −1 | 5 | 2 | 37 | PD 50 mg |
2 | Diplopia, Pain | RMR, RSO, RSR | R) Down −2 | RMR, RSR | R) Down −3, Add −4 | 2.5 | > 4 | 39 | PD 55 mg MTX 2.5 mg |
3 | Lid swelling | LMR, LLR, LIR, Lt. lacrimal, RMR | - | LMR, LLR, LIR, Lt. lacrimal | - | 7 | 2 | 13 | PD 40 mg |
4 | Diplopia, VA loss | RSR, RMR, RIR, LSR | R) Down −1 | RSR, LIR | R) Down −2, L) Down −4 | 2 | 3 | 31 | PD 70 mg |
5 | Proptosis | LMR, LIR, LLR, Lt. lacrimal | - | LLR, Lt. lacrimal | - | 4 | 2 | 8 | PD 40 mg |
6 | Diplopia, Lid swelling | LSR, LLR | L) Abd −4, Up −1 | RLR | R) Abd −1 | 6 | 2 | 19 | PD 50 mg |
7 | Diplopia, Pain | LSR, RMR | R) Abd −2 | RMR | R) Abd −2 | 1 | > 4 | 148 | PD 40 mg MTX 15 mg |
8 | Diplopia, Pain | LSR, LLR | L) Down −2 | LSR, LLR | L) Down −2 | 6 | 2 | 35 | PD 20 mg |
9 | Diplopia | LSR | L) Up −3 | RIR | R) Down −1 | 8 | 2 | 27 | PD 60 mg |
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Kang, M.S.; Yang, H.K.; Kim, N.; Hwang, J.-M. Clinical Features of Ocular Motility in Idiopathic Orbital Myositis. J. Clin. Med. 2020, 9, 1165. https://doi.org/10.3390/jcm9041165
Kang MS, Yang HK, Kim N, Hwang J-M. Clinical Features of Ocular Motility in Idiopathic Orbital Myositis. Journal of Clinical Medicine. 2020; 9(4):1165. https://doi.org/10.3390/jcm9041165
Chicago/Turabian StyleKang, Min Seok, Hee Kyung Yang, Namju Kim, and Jeong-Min Hwang. 2020. "Clinical Features of Ocular Motility in Idiopathic Orbital Myositis" Journal of Clinical Medicine 9, no. 4: 1165. https://doi.org/10.3390/jcm9041165
APA StyleKang, M. S., Yang, H. K., Kim, N., & Hwang, J.-M. (2020). Clinical Features of Ocular Motility in Idiopathic Orbital Myositis. Journal of Clinical Medicine, 9(4), 1165. https://doi.org/10.3390/jcm9041165