Mobius sequence with prenatal exposure to misoprostol
Philippine Journal of Ophthalmology
;
: 28-33, 2009.
Article
in English
| WPRIM
| ID: wpr-633206
ABSTRACT
Objective@#To present 3 cases of Möbius sequence exposed in utero to misoprostol and discuss their clinical presentations, etiopathogenesis, and management. @*Methods@#Medical records of 3 patients with Möbius sequence and prenatal exposure to misoprostol were reviewed. Clinical findings were compared with those reported in the literature.@*Results@#Lack of facial-muscle movement, lagophthalmos with secondary exposure keratitis, decreased ability to crease forehead, and shallow nasolabial fold imply facial-nerve dysfunction. Small- and large-angle esotropia and apparent orthotropia with abduction limitation showed varying degrees of abducens nerve involvement. Two patients had early prenatal exposure to misoprostol during the first 3 months of gestation.@*Conclusion@#A history of misoprostol exposure should be routinely elicited from parents of children with Möbius sequence. Associated deficiencies in Möbius sequence and its variants require a multidisciplinary approach.
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Index:
WPRIM (Western Pacific)
Language:
English
Journal:
Philippine Journal of Ophthalmology
Year:
2009
Type:
Article
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