Amyloid ophthalmoplegia. Ophthalmoparesis secondary to primary systemic amyloidosis.
We report a patient with primary systemic amyloidosis and orbital involvement associated with ophthalmoparesis. We support this with the first demonstration of eye movement recordings and magnetic resonance imaging (MRI) of such a patient. The patient presented with a restrictive ophthalmoparesis. Eye movement recordings documented slowed horizontal saccades. MRI of orbital structures suggests that all extraocular muscles were enlarged, with possible involvement of their tendinous insertions.
Katz
B
B
Department of Ophthalmology, University of California at San Diego.
Leja
S
S
Melles
R B
RB
Press
G A
GA
D000686:Amyloidosis / Q000150:complications*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D012438:Saccades