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Br J Ophthalmol. 2010 Sep;94(9):1165-8. doi: 10.1136/bjo.2009.165639. Epub 2010 Jun 24.

Eye movement recordings to investigate a supranuclear component in chronic progressive external ophthalmoplegia: a cross-sectional study.

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1
Department of Ophthalmology, The Royal Free Hospital, London, UK.

Abstract

BACKGROUND:

It has been postulated that eye movement disorders in chronic progressive external ophthalmoplegia (CPEO) have a neurological as well as a myopathic component to them.

AIM:

To investigate whether there is a supranuclear component to eye movement disorders in CPEO using eye movement recordings.

METHODS:

Saccade and smooth pursuit (SP) characteristics together with vestibulo-ocular reflex (VOR) gain and VOR suppression (VORS) gain in 18 patients with CPEO and 34 normal patients were measured using Eyelink II video-oculography.

RESULTS:

The asymptotic values of the peak velocity main sequence curves were reduced in the CPEO group compared to those of normal patients, with a mean of 161 degrees/s (95% CI 126 degrees/s to 197 degrees/s) compared with 453 degrees/s (95% CI 430 to 475 degrees/s), respectively. Saccadic latency was longer in CPEO (263 ms; 95% CI 250 to 278), compared to controls (185 ms; 95% CI 181 to 189). Smooth pursuit and VOR gains were impaired in CPEO, although this could be explained by non-supranuclear causes. VORS gain was identical in the two groups.

CONCLUSIONS:

This study does not support a supranuclear component to the ophthalmoplegia of CPEO, although the increased latencies observed may warrant further investigation.

PMID:
20576783
PMCID:
PMC4038492
DOI:
10.1136/bjo.2009.165639
[Indexed for MEDLINE]
Free PMC Article
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