Botulinum Toxin for the Treatment of Cyclic Strabismus in Children: Three Case Reports

Monika Wipf; Corinne Bok-Beaube; Anja Palmowski-Wolfe

doi:10.1055/s-0043-125060

Klinische Monatsblätter für Augenheilkunde, Inhaltsverzeichnis

Klin Monbl Augenheilkd 2018; 235(04): 465-468
DOI: 10.1055/s-0043-125060

Kasuistik

Georg Thieme Verlag KG Stuttgart · New York

Botulinum Toxin for the Treatment of Cyclic Strabismus in Children: Three Case Reports

Botulinumtoxin in der Therapie des zyklischen Innenschielens bei Kindern: 3 Fallberichte

Monika Wipf

¹Ophthalmology, University Eye Hospital, Basel, Switzerland

,

Corinne Bok-Beaube

²Ophthalmology, Hospital Fribourgeoise, Fribourg, Switzerland

,

Anja Palmowski-Wolfe

¹Ophthalmology, University Eye Hospital, Basel, Switzerland

› Institutsangaben

Abstract

Cyclic strabismus is a rare disease of unknown origin. If untreated, it leads to manifest strabismus with the risk of amblyopia in children. Treatment is generally surgical. Here we report on three children in whom cyclic esotropia was successfully treated with one bimedial injection of 5 IU Botox^®. All patients remained orthotropic with good stereo functions at the last follow-ups at 16, 11, and 8 months. Botulinum toxin offered a minimally invasive treatment option in these patients.

Zusammenfassung

Zyklisches Schielen ist eine seltene Form des Strabismus, die unbehandelt zum manifesten Schielen führt. Hier berichten wir über 3 Kinder, bei denen die Injektion von Botulinumtoxin in beide Mm. rectus medialis zu einer Heilung führte, die auch beim letzten Besuch nach 16, 11 und 8 Monaten anhielt. Somit bietet Botulinumtoxin eine minimalinvasive Therapieoption bei zyklischen Schielformen im Kindesalter.

Key words

pediatric ophthalmology - strabisms - cyclic strabismus - botulinum toxin

Schlüsselwörter

Kinderophthalmologie - Strabologie - zyklisches Innenschielen - Botulinumtoxin

Volltext

Referenzen

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