A Case of Bilateral Marcus-Gunn Syndrome
Journal of the Korean Ophthalmological Society
;
: 299-302, 2009.
Article
in Korean
| WPRIM
| ID: wpr-211843
ABSTRACT
PURPOSE:
To report a case of bilateral Marcus Gunn syndrome, which can be easily overlooked. CASESUMMARY:
A 6-year-old boy visited our clinic complaining of right ptosis. On ocular examination, the palpebral fissure width was 4 mm in the right lid and 7 mm in the left lid. Marginal reflex distance 1 (MRD 1) was -1 mm in the right lid and 2 mm in the left lid. Bilateral levator muscle function was good. When the patient moved the jaw to the right side, the left eyelid was retracted by 2 mm, and when the jaw was moved to the left side, the right upper eyelid retracted by 4 mm, which showed a moderate bilateral jaw-winking phenomenon. There was no change in bilateral palpebral fissure width when only opening the mouth without jaw movement.CONCLUSIONS:
Asymmetrical bilateral ptosis can be easily misdiagnosed for unilateral ptosis, and concurrent Marcus Gunn phenomenon can exist. Therefore, a thorough examination is necessary when examining a ptosis patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reflex
/
Blepharoptosis
/
Reflex, Abnormal
/
Eyelids
/
Heart Defects, Congenital
/
Jaw
/
Jaw Abnormalities
/
Mouth
/
Muscles
/
Nervous System Diseases
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2009
Type:
Article
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