Carbacholの内斜視に対する応用

Carbachol in the Management of Accomodative Esotropia

緒言

　内斜視の薬物療法として，従来使用されていた抗コリンエステラーゼ剤の縮瞳剤としてトスミレン，PI,DFP等があるが，今回は縮瞳剤としてcarbacholを遠視を有する内斜視患者に使用し，前回われわれが使用したUbretid （以下UBR）と結果を比較しながら，本薬剤の内斜視に対する効果，使用期間，使用後の治療法，副作用等につき考察してみたいと思う。

Topical carbachol (0.5%) was used in the management of accommodative esotropia. The instillation was made every morning and clini-cal followup was made once a week. Nine representative instances out of 33 thus treated cases during the last 9 months are described in the present paper.

The effect to minimize the angle of deviation at 5 meters were excellent in 5, fair in 2 and poor in 2 instances. The effect at 1/3 meter wasexcellent in 3, fair in 3 and poor in 3 instances. The effect to minimize the angle of deviation became manifest within 9 weeks.