African Economic History American Orthoptic Journal Arctic Anthropology Constitutional Studies Contemporary Literature Ecological Restoration Ghana Studies Journal of Human Resources Land Economics Landscape Journal Luso-Brazilian Review Monatshefte Native Plants Journal SubStance University of Wisconsin Press Journals
Customer Service
For Libraries
Subscription Agencies

UW Madison

American Association of University Presses


American Orthoptic Journal Abstract

To request a single copy of any journal article, contact us at: 608 263-0654 (voice), or (email). Articles will be photocopied and mailed within two business days. Please prepay with VISA or MasterCard. Articles up to 29 pages in length are priced at $15.00. Articles containing 30 or more pages are priced at $25.00. For article reprints in quantities of 25-500 please use our online reprint ordering system by clicking Reprint Orders.


Volume 50, 2000, p. 120125

Ocular Neuromyotonia (Abstract)
Karen McMain O.C. (C.), C.O.M.T., Joan Parkinson C.O., C.O.M.T., Charles Maxner M.D., F.R.C.S.C., Robert LaRoche M.D., F.R.C.P.C.

Orthoptists and Ophthalmologists are keenly aware of the importance of stable strabismus measurements prior to extraocular muscle surgery. Disease entities such as myasthenia gravis are frequently debated in case of unstable measurements. It is important to include ocular neuromyotonia (ONM) in the differential diagnosis of variable strabismus, particularly with a history of cranial radiotherapy and to ascertain if this diagnosis is applicable preoperatively as many of these cases respond to medical rather than surgical treatment. Our experience with ONM will be described in a case report involving a 48 year old esotropic female who had radiation therapy for a cancerous lesion of the parotid gland 15 years previously. Her initial clinical appearance was of a large esotropia with apparent right VIth nerve paresis, eventually it was noted that an exotropia could be elicited after sustained right gaze. The exotropia lasted 15 30 seconds and is believed to be due to ONM of the right lateral rectus. This ONM, secondary to radiation/compression of the right VIth nerve, resolved with appropriate Dilantin levels. A small persistent esotropia was amenable to prismatic correction with no strabismus surgery required.