SHIMIZU Yuko
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Topical naphazoline in the treatment of myasthenic blepharoptosis.
Journal Formal name:Muscle & nerve
Abbreviation:Muscle Nerve
ISSN code:10974598/0148639X
Domestic / ForeginForegin
Volume, Issue, Page 44(1),pp.41-4
Author and coauthor Nagane Yuriko, Utsugisawa Kimiaki, Suzuki Shigeaki, Masuda Masayuki, Shimizu Yuko, Utsumi Hiroya, Uchiyama Shinichiro, Suzuki Norihiro
Publication date 2011/07
Summary INTRODUCTION:When treating ocular myasthenia gravis (MG), the risk/benefit profile of corticosteroids is unclear, and acetylcholinesterase inhibitors are not very effective. We examined the efficacy of topical naphazoline in the treatment of myasthenic blepharoptosis.METHODS:Sixty MG patients with blepharoptosis (32 with ocular symptoms only and 28 with mild generalized symptoms) were enrolled in a multicenter open trial of topical naphazoline. The effects were reported by patients via a questionnaire and were also confirmed for each patient at the clinic.RESULTS:Among 70 eyes of 60 patients, 20 eyes (28.6%) of 17 patients (28.3%) exhibited a marked response (full eye opening), and 24 eyes (34.3%) of 20 patients (33.3%) showed a good response (adequate but incomplete eye opening). Topical naphazoline was evaluated as useful in the treatment of myasthenic blepharoptosis by >70% of the patients.CONCLUSIONS:Topical naphazoline was found to be an effective supplementary symptomatic treatment for myasthenic blepharoptosis.
DOI 10.1002/mus.22002
PMID 21491460