• Ophthalmologe · Jan 2009

    Case Reports

    [Ocular neuromyotonia after radiation therapy].

    • M van Waveren, V Herzau, and D Besch.
    • Sektion für Motilitätsstörungen, periokuläre Chirurgie und Kinderophthalmologie, Universitäts-Augenklinik, Tübingen, Deutschland.
    • Ophthalmologe. 2009 Jan 1; 106 (1): 47-51.

    AbstractOcular neuromyotonia is a rare disease that is diagnosed mainly in patients treated with radiation. All such patients described in the literature presented with temporary diplopic images as a common symptom. In our case, the patient described an abducens paresis of the right eye combined with a sporadic exotropia half a year after radiation treatment of an epipharynx carcinoma. An adduction deficit on the right side could be triggered by holding the gaze to the right over a longer period of time, leading to exotropia in the primary position and gaze to the left. Symptoms were reduced with carbamazepine.

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