A Case of Bilateral Marcus-Gunn Syndrome
Journal of the Korean Ophthalmological Society
; : 299-302, 2009.
Article
en Ko
| WPRIM
| ID: wpr-211843
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: To report a case of bilateral Marcus Gunn syndrome, which can be easily overlooked. CASE SUMMARY: 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 When the patient moved the jaw to the right side, the left eyelid was retracted by 2 mm, and when the jaw was moved to the left side, the right upper eyelid retracted by 4 mm, which showed a moderate bilateral jaw-winking phenomenon.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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Reflejo
/
Blefaroptosis
/
Reflejo Anormal
/
Párpados
/
Cardiopatías Congénitas
/
Maxilares
/
Anomalías Maxilomandibulares
/
Boca
/
Músculos
/
Enfermedades del Sistema Nervioso
Límite:
Child
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Año:
2009
Tipo del documento:
Article