A Case of Cyclic Esotropia after Psychological Trauma.

Kang, Heyun Gu; Kim, Seong Jae; Kim, Sook Young

Case Report

Journal of the Korean Ophthalmological Society 2006;47(3):500-504.
Published online March 31, 2006.

A Case of Cyclic Esotropia after Psychological Trauma.

Heyun Gu Kang, Seong Jae Kim, Sook Young Kim

Department of Ophthalmology, College of Medicine, Catholic University of Daegu, Daegu, Korea. kimsy@cu.ac.kr

심리적 외상 후 발생한 주기내사시 1예

강현구,김성재,김숙영

Department of Ophthalmology, College of Medicine, Catholic University of Daegu, Daegu, Korea

Correspondence: Heyun Gu Kang, M.D.

Abstract

PURPOSE
To report a case of cyclic esotropia after psychological trauma that resolved spontaneously without any surgical treatment. METHODS: An 8-year-old boy developed blepharoptosis, limitation of abduction, and esotropia with headache and vomiting after psychological trauma. Brain MRI, cerebrospinal fluid examination, and EEG (electroencephalogram) showed no significant abnormalities. The ptosis and limitation of abduction were resolved gradually, but esotropia persisted in a cyclic pattern. RESULTS: During follow-up, the 96-hour cycle of esotropia was gradually shortened to a 48-hour and then to 24-hour cycle. At final follow-up, the cyclic esotropia had disappeared completely and the patient has been orthotroric for more than 4 years. CONCLUSIONS: Cyclic esotropia may occur after psychological trauma and may resolved spontaneously without any surgical treatment.

Key Words: Cyclic esotropia;Psychological trauma