Assessment of activities of daily living in cases with acquired ocular movement disorders

• Published in: JAPANESE ORTHOPTIC JOURNAL Vol. 32; pp. 131 - 137
• Main Authors: Ohmure, Kazuyo, Wakayama, Akemi, Kakuda, Tomomi, Tomotake, Rika, Shimomura, Yoshikazu, Matsumoto, Fumiko, Nakao, Yuzo
• Format: Journal Article
• Language: English
• Published: JAPANESE ASSOCIATION OF CERTIFIED ORTHOPTISTS 31.07.2003
• Subjects: acquired ocular movement disorders; disturbance in daily life; field of binocular single vision; quality of life (QOL); questionnaire
• ISSN: 0387-5172; 1883-9215
• DOI: 10.4263/jorthoptic.32.131

[Purpose] To investigate activities of daily living (ADL) in patients with acquired ocular movement disorders using a questionnaire, as well as to evaluate the relationship between the field of binocular single vision and any disturbances in daily life. [Methods] The subjects were 47 cases with acquired ocular movement disorders within an onset of 6 months. The ocular movement disorders were identified as oculomotor nerve palsy in four cases, trochler nerve palsy in 11 cases, abducens nerve palsy in 18 cases, and blowout fracture in the remaining 14 cases. Disturbance in daily life was investigated using a questionnaire containing 18 items. The field of binocular single vision was measured using the Bagolini striated glass. [Results] Forty out of 47 cases (85%) had found some disturbance in daily life, while only seven out of 47 cases (15%) experienced no disturbance. As for oculomotor nerve palsy, trochler nerve palsy and abducens nerve palsy, the items of disturbance in daily life were held in common. Items involving movement such as “walking” “up and down stairs”, “watching the television” or “driving a car” were obstacles. Disturbance in daily life was most severe in oculomotor nerve palsy and not in blowout fracture. The cases with no field of binocular single vision at primary position showed more severe disturbance than those with field of binocular single vision at primary position. The existences of the field of binocular single vision at primary position and lower field were important for improving the quality of daily life. [Conclusion] A method of scored questionnaire and the field of binocular single vision was useful to evaluate the disturbance in daily life in patients with acquired ocular movement disorders.