Acute Strabism Revealing Myasthenia Gravis
Journal Title: Ophthalmology and Vision Science - Year 2017, Vol 1, Issue 3
Abstract
The case of a twenty two year old woman, who consulted for an acute deviation of the right eye, is presented. Physical examination of eyelids, pupillary reflexes, anterior segment and fundus were within normal limits. When evaluating extra-ocular motility, there is a limitation in adduction of the right eye and an alternating exotropia of 15 prismatic diopters in the primary position of the gaze. Imaging tests (orbital CT scan and brain MRI) showed no pathological changes. A neostigmine test was performed; which resulted being positive. The patient was managed with pyridostigmine and steroids, showing progressive improvement. The case is discussed because of the importance of differential diagnoses in the event of an acute ocular deviation.
Authors and Affiliations
León-Nieto L, Bojan A, Zimmermann-P M, Salcedo H
Keywords
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