Professional paper

https://doi.org/10.13112/PC.2017.28

Successful treatment of strabismus in a child with Moebius syndrome

Barbara Dawidowsky orcid.org/0000-0001-9933-2643 ; Klinika za dječje bolesti Zagreb
Matija Žutelija-Fattorini
Aleksandra Klobučar
Neda Striber
Krsto Dawidowsky

Abstract

Moebius syndrome is a rare disease characterized by unilateral or bilateral congenital nonprogressive facial nerve palsy and abducens
nerve palsy. It is associated with a wide spectrum of systemic and ocular manifestations; congenital esotropia (convergent
strabismus) is common in these patients but vertical strabismus is rare. Only few articles have described results of strabismus surgery
for esotropia in children, but only one reports strabismus surgery for vertical and horizontal deviation. We report a rare case of a
three-year-old male child with large esotropia and limited ocular abductions along with a signifi cant vertical deviation, which is not
common in classic Moebius syndrome. We used conservative approach prescribing glasses with full correction, which resolved convergent
strabismus, and surgery for treating vertical strabismus by superior rectus retroposition.

Keywords

Moebius syndrome; congenital esotropia; vertical strabismus surgery

Hrčak ID:

201178

URI

https://hrcak.srce.hr/201178

Publication date:

22.12.2017.

Article data in other languages: croatian

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