Artículos de revistas
Myotonic Dystrophy Type 1: Frequency Of Ophthalmologic Findings
Distrofia Miotônica Tipo 1: Frequência Dos Achados Oftalmológicos
Registro en:
Arquivos De Neuro-psiquiatria. Associacao Arquivos De Neuro-psiquiatria, v. 74, n. 3, p. 183 - 188, 2016.
0004-282X
10.1590/0004-282X20150218
2-s2.0-84962418463
Autor
Ikeda K.S.
Iwabe-Marchese C.
França M.C.
Jr.
Nucci A.
de Carvalho K.M.
Institución
Resumen
The purpose of the study was to evaluate the frequency of ophthalmologic abnormalities in a cohort of myotonic dystrophy type 1 (DM1) patients and to correlate them with motor function. We reviewed the pathophysiology of cataract and low intraocular pressure (IOP). Method: Patients were included after clinical and laboratory diagnosis and after signed informed consent. They were evaluated by Motor Function Measure scale, Portuguese version (MFM-P) and ophthalmic protocol. Results: We evaluated 42 patients aged 17 to 64 years (mean 40.7 ± 12.5), 22 of which were men. IOP (n = 41) was reduced in all but one. We found cataract or positivity for surgery in 38 (90.48%) and ptosis in 23 (54.76%). These signs but not IOP were significantly correlated with severity of motor dysfunction. Abnormalities in ocular motility and stereopsis were observed. Conclusion: Cataract and ptosis are frequent in DM1 and associated to motor dysfunction. Reduced IOP is also common, but appears not to be related with motor impairment. © 2016, Associacao Arquivos de Neuro-Psiquiatria. All rights reserved. 74 3 183 188