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Fisher syndrome in a case of retinitis pigmentosa Masaya Nishizaki 1 , Makoto Nakamura 1 , Yoshibumi Sekiya 1 1Dept of Ophthalmol, Kobe Univ Sch of Med pp.1191-1193
Published Date 1996/6/15
DOI https://doi.org/10.11477/mf.1410904957
  • Abstract
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A 59-year-old woman presented with external ophthalmoplegia of recent onset, areflexia and increased protein withuot pleocytosis in the cerebrospinal fluid. Spontaneous recovery set in three months later. These features led to the diagnosis of Fisher syndrome. Kearns-Sayre syndrome had to be differentiat-ed because of the presence of retinitis pigmentosa and increased levels of serum lactate and pyruvate. Her corrected visual acuities transiently deteriorated during the clinical course. A transient shift towards myopia occurred also, probably due to hyperaccommodation. Impaired convergence in Fisher syndrome in addition to visual field constriction due to retinitis pigmentosa seemed to have necessitated an excessive effort in fixation leading to hyperaccommodation.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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