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KMID : 0381219910230010053
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Journal of RIMSK
1991 Volume.23 No. 1 p.53 ~ p.59
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Clinical Studies in Patients with Essential Blepharospasm and with Hemifacial Spasm
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Abstract
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This clinical investigation was undertaken to evaluate the patients who had characteristic features of essential blepharospasm and hemifacial spasm during the period from July, 1987 to August, 1990 in this ophthalmological department of Chung Ang University Hospital.
The results were as follows:
1) The age onset of essential blepharospasm and hemifacial spasm patients were 51.3 years and 42. 7 years, respectively.
2) In sex ratio, 71.6% was female in essential blepharospasm and 72.7% was female in hemifacial spasm patients.
3) In past treatment history, herb medication and acupuncture was the most common treatment modalities in both patients.
4) These patients showed lid spasm, tricks, and lid or brow ptosis as a common sign and complained of foreign body sensation, photophobia, and epiphora as main symptoms.
5) These symptoms were worsened by emotional stress or fatigue in most patients.
6) The BUT (tear film break-up time) under 10 seconds were 74.1% in essential blepharospasm, 69. 2% in hemifacial spasm, and 55.0% in control but there was no significant difference between these patients and control (p>0.05).
The Schirmer test value under 10 mm was 69.7%, 66.3% and 35.0% each other and there was significant difference between them (p<0.05).
7) The value of BUT and Schirmer test were not influenced after Botulinum toxin injection statistically (p>0.05).
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