Oculomotor nerve palsy in an asymptomatic child with COVID-19

We report the case of a 2-year-old girl with acute-onset divergent strabismus and ptosis in the right eye. She had an exotropia of 45(Δ) for near, eyelid ptosis affecting the visual axis, adduction, limitations of up- and downgaze, and a discrete mydriasis in the right eye. Neurological conditions w...

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Detalles Bibliográficos
Autores principales: de Oliveira, Marcela R., Lucena, Ana Regina V.P., Higino, Taciana M.M., Ventura, Camila V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. 2021
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7936124/
https://www.ncbi.nlm.nih.gov/pubmed/33689910
http://dx.doi.org/10.1016/j.jaapos.2021.02.001
Descripción
Sumario:We report the case of a 2-year-old girl with acute-onset divergent strabismus and ptosis in the right eye. She had an exotropia of 45(Δ) for near, eyelid ptosis affecting the visual axis, adduction, limitations of up- and downgaze, and a discrete mydriasis in the right eye. Neurological conditions were ruled out. Serology was positive for SARS-CoV-2 antibodies. The patient was managed conservatively with ocular physiotherapy and close visual acuity monitoring. On follow-up examination at 1 month, there was marked improvement of the exotropia (25(Δ) for near), adduction, ptosis, and mydriasis.

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