A case of bilateral horizontal gaze palsy and concurrent esotropia

Mina Ghobrial; Edward Kuwera

doi:10.1016/j.ajoc.2023.101947

A case of bilateral horizontal gaze palsy and concurrent esotropia

Mina Ghobrial, Edward Kuwera

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To report a unique case of bilateral horizontal pontine gaze palsy with concurrent esotropia, surgical management, and post-operative follow-up. Observations: A 39-year-old male presented with diplopia and a history of neurocysticercosis. He was found to have bilateral horizontal gaze palsy and concurrent esotropia, R > L. Classic bimedial rectus recess-resect surgery was done to include resection of the right lateral rectus muscle. Follow-up three months post-op demonstrates markedly improved diplopia. Conclusion and importance: We present a recommended therapeutic approach for the rare case of concurrent bilateral horizontal gaze palsy and esotropia, which should be further evaluated in longitudinal studies.

Original language	English (US)
Article number	101947
Journal	American Journal of Ophthalmology Case Reports
Volume	32
DOIs	https://doi.org/10.1016/j.ajoc.2023.101947
State	Published - Dec 2023

Keywords

Bilateral horizontal gaze palsy
Cross fixation
Esotropia
Gaze palsy
Strabismus

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajoc.2023.101947

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title = "A case of bilateral horizontal gaze palsy and concurrent esotropia",

abstract = "Purpose: To report a unique case of bilateral horizontal pontine gaze palsy with concurrent esotropia, surgical management, and post-operative follow-up. Observations: A 39-year-old male presented with diplopia and a history of neurocysticercosis. He was found to have bilateral horizontal gaze palsy and concurrent esotropia, R > L. Classic bimedial rectus recess-resect surgery was done to include resection of the right lateral rectus muscle. Follow-up three months post-op demonstrates markedly improved diplopia. Conclusion and importance: We present a recommended therapeutic approach for the rare case of concurrent bilateral horizontal gaze palsy and esotropia, which should be further evaluated in longitudinal studies.",

keywords = "Bilateral horizontal gaze palsy, Cross fixation, Esotropia, Gaze palsy, Strabismus",

author = "Mina Ghobrial and Edward Kuwera",

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AU - Kuwera, Edward

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AB - Purpose: To report a unique case of bilateral horizontal pontine gaze palsy with concurrent esotropia, surgical management, and post-operative follow-up. Observations: A 39-year-old male presented with diplopia and a history of neurocysticercosis. He was found to have bilateral horizontal gaze palsy and concurrent esotropia, R > L. Classic bimedial rectus recess-resect surgery was done to include resection of the right lateral rectus muscle. Follow-up three months post-op demonstrates markedly improved diplopia. Conclusion and importance: We present a recommended therapeutic approach for the rare case of concurrent bilateral horizontal gaze palsy and esotropia, which should be further evaluated in longitudinal studies.

KW - Bilateral horizontal gaze palsy

KW - Cross fixation

KW - Esotropia

KW - Gaze palsy

KW - Strabismus

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A case of bilateral horizontal gaze palsy and concurrent esotropia

Abstract

Keywords

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