Methylprednisolone pulse therapy in patient with isolated superior oblique myositis

Kau, H-C; Kao, S-C; Peng, C-H; Hsu, W-M; Tsai, C-C

doi:10.1038/sj.eye.6702145

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Published: 09 December 2005

Methylprednisolone pulse therapy in patient with isolated superior oblique myositis

H-C Kau^1,2,
S-C Kao³,
C-H Peng³,
W-M Hsu³ &
…
C-C Tsai^3,4,5

Eye volume 20, pages 1106–1109 (2006)Cite this article

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Sir,

Idiopathic orbital myositis (IOM) is a type of orbital pseudotumour in which one or more extraocular muscles can be involved. However, oblique muscle involvement is much less common than rectus muscle.¹ In a large series of 75 patients with IOM, involvement of lateral rectus muscle was found to be 33% and followed by medial rectus (29%), superior rectus (23%), inferior rectus (10%), inferior oblique (3%), and superior oblique (SO, 2%). Especially, isolated SO myositis is very rare, and often causes persistent gaze restriction.^{2, 3, 4, 5} We report one patient with isolated SO myositis treated successfully with pulse intravenous methylprednisolone, and also reviewed the clinical presentation and treatment outcome of previously reported four cases.

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Authors and Affiliations

Department of Ophthalmology, Taoyuan Veterans Hospital, Taiwan
H-C Kau
Jules Stein Eye Institute and Department of Ophthalmology, University of California, Los Angeles, California, USA
H-C Kau
Department of Ophthalmology, Taipei Veterans General Hospital and National Yang-Ming University, Taiwan
S-C Kao, C-H Peng, W-M Hsu & C-C Tsai
Divisions of Molecular Medicine, Harbor-UCLA Medical Center, Torrance, USA
C-C Tsai
Institute of Clinical Medicine, National Yang-Ming University, Taiwan
C-C Tsai

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H-C Kau
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S-C Kao
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C-H Peng
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W-M Hsu
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C-C Tsai
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Correspondence to C-C Tsai.

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Kau, HC., Kao, SC., Peng, CH. et al. Methylprednisolone pulse therapy in patient with isolated superior oblique myositis. Eye 20, 1106–1109 (2006). https://doi.org/10.1038/sj.eye.6702145

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Published: 09 December 2005
Issue date: 01 September 2006
DOI: https://doi.org/10.1038/sj.eye.6702145

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Methylprednisolone pulse therapy in patient with isolated superior oblique myositis

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