Ophthalmoparesis
From Wikipedia, the free encyclopedia
| Ophthalmoparesis | |
|---|---|
| Classification and external resources | |
| ICD-10 | H49.3-H49.4 |
| ICD-9 | 367.52, 376.22, 378.55, 378.56, 378.72, 378.86, 378.9 |
| DiseasesDB | 9240 |
| MeSH | D009886 |
Ophthalmoparesis or ophthalmoplegia is a physical finding in certain neurologic illnesses. It refers to paralysis of the one or more extraocular muscles which are responsible for eye movements.
Contents |
[edit] Classification
Ophthalmoparesis can involve any or all of the extraocular muscles, which include the superior recti, inferior recti, medial recti, lateral recti, inferior oblique and superior oblique muscles.
It can also be classified by the directions of affected movements, e.g. "vertical ophthalmoparesis".
[edit] Causes
Ophthalmoparesis can result from disorders of various parts of the eye and nervous system:
- The orbit of the eye, including mechanical restrictions of eye movement, as in Graves disease.
- The muscle, as in progressive external ophthalmoplegia or Kearns-Sayre syndrome
- The neuromuscular junction, as in myasthenia gravis.
- The cranial nerves or their brainstem nuclei of the oculomotor, trochlear, and abducens, e.g. secondary to cavernous sinus syndrome, cavernous sinus thrombosis.
- White matter tracts in the brainstem, as in internuclear ophthalmoplegia, an occasional finding in multiple sclerosis.
- Injury to supranuclear structures, as in progressive supranuclear palsy.
- Very rarely, disorders of higher brain structures, including the parietal lobes of the cerebral cortex.
- Toxic envenomation by mambas, taipans, and kraits.
Thiamine deficiency can cause ophthalmoparesis in susceptible persons; this is part of the syndrome called Wernicke encephalopathy. The causal pathway by which this occurs is unknown. Intoxication with certain substances, such as phenytoin, can also cause ophthalmoparesis.
[edit] Treatment and prognosis
Treatment and prognosis depend on the underlying condition. For example, in Thiamine deficiency treatment would be the immediate administration of vitamin B1.
