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مقاله
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Abstract
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Title:
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The effect of acupuncture on blepharoptosis and diplopia in ocular myasthenia gravis: a report of three cases
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Author(s):
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Mohammad Etezad Razavi(MD),Seyed Javad Mojtabavi(MD),Reza Pourmazar(MD),Marzieh Najjaran(MSc)
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Reza Pourmazar
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Affiliation :(optional)
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Eye Research Center, Khatam-al-Anbia Eye Center, Mashhad, Iran
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E mail:
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pourmazar@yahoo.com
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Phone:
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05453330199
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Mobile:
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09126122025
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Purpose:
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Ptosis and diplopia are the most common ocular symptoms of ocular myasthenia gravis (OMG). Treatment of ocular symptoms in OMG and preventing the development of generalized symptoms are important goals in management of MG. Among controversies in treatment approaches to OMG, Immune suppression with steroids is often the main therapy; however, the frequent need for long term administration, may increase their potential adverse side effects. In this study, we report the efficacy of acupuncture therapy on relieving ocular symptoms of three cases with OMG, who were resistant to the conventional treatment.
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Methods:
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In this pilot study, three patients with OMG were offered ten sessions of acupuncture therapy, twice weekly, while they were taking their routine medical treatment. Their symptoms including ptosis and diplopia, and subjective impression of changes were documented based on ocular-quantitative myasthenia gravis (QMG) scoring before and after treatment sessions.
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Results:
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All three patients enrolled in this study showed resolution of diplopia. Their subjective impression of symptoms was improved. However, the score of ptosis did not improve considerably.
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Conclusion:
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Acupuncture may be considered another choice for reducing ocular symptoms besides conventional treatment. However, future randomized controlled trial studies in this issue are needed to be done.
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Attachment:
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