DR. JASLEEN KAUR

DR.CHINMAYEE THRISHULA MURTHY, DR.BV SHWETHA

Abstract

Aim

To report a rare case of mobius syndrome and its ophthalmological management

Method

A 11 months old baby presented with complains of inward deviation of eyes and inability to blink. Detailed ophthalmological examination was done. Pediatric evaluation was done to rule out any syndromic associations. The baby underwent BE MR recession.

Results

The baby was found to have BE esotropia suggestive of b/l CN VI palsy and loss of facial expressions & blinking suggestive of CN VII palsy. On general physical examination, epicanthal folds in both eyes, depressed nasal bridge, low set ears, high arched palate, CTEV in both lower limbs was noted. Baby underwent BE MR recession for correction of esotropia.

Conclusion

Diagnosis of mobius syndrome is mainly clinical. No specific diagnostic laboratory studies are described in the literature. A thorough evaluation involving multiple disciplines is required. Ophthalmological management is mainly focussed on correcting the ocular posture.