Indian Journal of Ophthalmology (Jan 2012)
A rare case of Moebius sequence
- Abhishek Kulkarni,
- M R Madhavi,
- M Nagasudha,
- Shilpa Bhavi
Affiliations
- Abhishek Kulkarni
- M R Madhavi
- M Nagasudha
- Shilpa Bhavi
- DOI
- https://doi.org/10.4103/0301-4738.103798
- Journal volume & issue
-
Vol. 60,
no. 6
pp. 558 – 560
Abstract
We report a case of an 18-year-old male who presented with watering and inability to close the left eye completely since 6 months and inability to move both eyes outward and to close the mouth since childhood. Ocular, facial, and systemic examination revealed that the patient had bilateral complete lateral rectus and bilateral incomplete medial rectus palsy, left-sided facial nerve paralysis, thickening of lower lip and inability to close the mouth, along with other common musculoskeletal abnormalities. This is a typical presentation of Moebius syndrome which is a very rare congenital neurological disorder characterized by bilateral facial and abducens nerve paralysis. This patient had bilateral incomplete medial rectus palsy which is suggestive of the presence of horizontal gaze palsy or occulomotor nerve involvement as a component of Moebius sequence.
Keywords
- Accommodation
- disaccommodation
- mydriasis
- phenylephrine hydrochloride
- pupil
- velocity
- Growth
- human adult
- lens diameter
- lens dry weight
- lens thickness
- lens wet weight
- Silicone oil removal
- encirclage
- 360 retinopexy
- oil emulsification
- silicone oil tamponade
- Age-related macular degeneration
- chorodial neovascularization
- ocular trauma
- polypoidal choroidal vasculopathy
- retinal macroaneurysm
- submacular hemorrhage
- subretinal hemorrhage
- tissue plasminogen activator
- vitrectomy
- Insulin-like growth factor-1
- insulin-like growth factor binding protein-3
- retinopathy of prematurity
- Brilliant Blue G
- dextrose normal saline 10%
- internal limiting membrane
- macular hole
- Angle closure
- anterior chamber angle
- blotchy pigments
- glaucomatous optic neuropathy
- peripheral anterior synechiae
- Cardiff acuity cards
- lea grating
- visual acuity in pre-verbal children
- Contrast sensitivity
- contrast visual acuity
- retinitis pigmentosa
- Bevacizumab
- choroidal neovacular membrane
- panuveitis
- triamcinolone acetonide
- Vogt-Koyanagi-Harada syndrome
- Spectacles
- spectacle dispensing
- spectacle dispensing errors
- Indian eyes
- normative database
- retinal nerve fiber layer thickness
- spectral domain optical coherence tomography
- Bilateral medial rectus palsy
- facial diplegia
- Moebius sequence
