RESUMO
Mucoceles are chronic cystic lesions of the paranasal sinuses lined by respiratory epithelium. Their extension into the adjacent orbit may result in proptosis, ocular motility disorders, and diplopia. Brown syndrome secondary to extension of a mucocele into the orbit has been reported previously. Superior oblique (SO) muscle weakness, either isolated or in combination with an ipsilateral limitation to elevation in adduction, has not been previously reported in patients with orbital mucocele.
Assuntos
Movimentos Oculares/fisiologia , Mucocele/complicações , Doenças Orbitárias/complicações , Estrabismo/etiologia , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Mucocele/diagnóstico , Mucocele/cirurgia , Procedimentos Cirúrgicos Oftalmológicos/métodos , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/cirurgia , Estrabismo/fisiopatologia , Estrabismo/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A 2-month-old boy presented with hypotropia, eyelid retraction, and proptosis of the left eye. CT and ultrasound demonstrated enlarged extraocular muscles. Both the infant and mother were euthyroid. The patient underwent inferior rectus recession, lower eyelid retractor disinsertion, and entropion repair. Biopsy of the inferior rectus and oblique muscles was normal. The clinical presentation and workup appear to be most consistent with thyroid eye disease, which, to our knowledge, would be the first reported case of euthyroid congenital thyroid eye disease with a euthyroid mother.
Assuntos
Síndromes do Eutireóideo Doente/congênito , Oftalmopatia de Graves/congênito , Músculos Oculomotores/patologia , Entrópio/congênito , Entrópio/cirurgia , Exoftalmia/congênito , Humanos , Hipertrofia/congênito , Lactente , Imageamento por Ressonância Magnética , Masculino , Transtornos da Motilidade Ocular/congênito , Músculos Oculomotores/cirurgia , Testes de Função Tireóidea , Tomografia Computadorizada por Raios XRESUMO
A 4-year-old boy was referred for blepharoptosis. Examination revealed the presence of oculomotor-abducens synkinesis (right upper eyelid elevation with right gaze). Reports of congenital oculomotor-abducens synkinesis syndromes are rare. Two surgeries required more levator resection than anticipated to obtain the first, to our knowledge, reported successful result in this condition.
Assuntos
Blefaroplastia/métodos , Blefaroptose/cirurgia , Músculos Oculomotores/fisiopatologia , Sincinesia/complicações , Blefaroptose/complicações , Blefaroptose/congênito , Pré-Escolar , Movimentos Oculares , Seguimentos , Humanos , Masculino , Músculos Oculomotores/cirurgia , Sincinesia/fisiopatologiaRESUMO
A unique case of alternating, poorly controlled, intermittent strabismus that improved after repair of bilateral, alternating congenital ptosis is described. A 7-year-old boy with bilateral, alternating congenital ptosis and poorly controlled, intermittent exotropia underwent bilateral frontalis suspensions. After surgery, the patient demonstrated improved control of his exotropia. We conclude that an alternating ptosis may lead to sensory deprivation of the occluded eye and decreased fusion, causing an intermittent strabismus to be poorly controlled. Repair of the ptosis to a sufficient eyelid height bilaterally may improve control of the strabismus, obviating strabismus surgery.