Ocular Motor Dysfunction in Parry–Romberg Syndrome: Four Cases
| Autor: | Andrew J Levada, Jacqueline M S Winterkorn, Jonathan E. Silbert, Christina Rapp Prescott, Robert L. Lesser, M Joshua Hasbani |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Weakness genetic structures Ocular motor Visual Acuity Young Adult Ocular Motility Disorders Ptosis Facial Hemiatrophy medicine Blepharoptosis Humans Aged Paresis Diplopia business.industry Enophthalmos Parry–Romberg syndrome General Medicine medicine.disease Magnetic Resonance Imaging Gaze eye diseases Surgery Ophthalmology Oculomotor Muscles Pediatrics Perinatology and Child Health Female Visual Fields medicine.symptom business |
| Zdroj: | Journal of Pediatric Ophthalmology & Strabismus. 48 |
| ISSN: | 1938-2405 0191-3913 |
| DOI: | 10.3928/01913913-20111129-02 |
| Popis: | The authors describe four patients with Parry–Romberg syndrome (PRS) who had abnormal eye movements, ptosis, and facial hemiatrophy. There were delays in diagnosis in all cases, often requiring multiple imaging studies, prior to diagnosis of PRS. These cases demonstrate the variable ophthalmic manifestations of PRS, which can lead to difficulty in diagnosis. Case 1 was a 23-year-old woman with lateral rectus paresis who presented with horizontal diplopia and developed ptosis and facial hemiatrophy. Case 2 was a 28-year-old woman with medial rectus weakness adjusted to diplopia by head turn and gaze preference. Case 3 was a 68-year-old woman who presented with dry eye symptoms and was noted to prefer right gaze and have left hemifacial atrophy. Case 4 was a 68-year-old woman who presented with ptosis, enophthalmos, and restriction of up gaze. The ocular motor defect in all of these cases is best explained by muscle fibrosis rather than nerve paresis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|