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Klin Monbl Augenheilkd 2018; 235(04): 465-468
DOI: 10.1055/s-0043-125060
DOI: 10.1055/s-0043-125060
Kasuistik
Botulinum Toxin for the Treatment of Cyclic Strabismus in Children: Three Case Reports
Botulinumtoxin in der Therapie des zyklischen Innenschielens bei Kindern: 3 FallberichteFurther Information
Publication History
received 06 September 2017
accepted 17 November 2017
Publication Date:
16 February 2018 (online)
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.
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