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Updated: May 6, 2026
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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
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Monocular elevation deficiency with associated dextrocardia and situs inversus
Saemah Nuzhat Zafar1, Aasma Nudrat Zafar, Inayat Hussain
1Al-Shifa Trust Eye Hospital, Jhelum Road, Rawalpindi, 46000, Pakistan.
Summary
A rare case of monocular elevation deficiency was observed alongside dextrocardia and situs inversus. This report reviews associated ocular features in patients with dextrocardia.
Area of Science:
- Ophthalmology
- Cardiology
- Genetics
Background:
- Monocular elevation deficiency (MED) is a rare congenital eye movement disorder.
- Dextrocardia and situs inversus are conditions where the heart and major organs are mirrored.
- The co-occurrence of these conditions is exceptionally uncommon.
Purpose of the Study:
- To report a unique case of a patient presenting with monocular elevation deficiency, dextrocardia, and situs inversus.
- To systematically review and consolidate existing literature on ocular manifestations associated with dextrocardia.
Main Methods:
- Case report of a patient with the described conditions.
- Comprehensive literature search using medical databases (e.g., PubMed, Scopus).
- Analysis of reported ocular findings in patients diagnosed with dextrocardia.
Main Results:
- Detailed clinical presentation of the patient with MED, dextrocardia, and situs inversus.
- Identification and summary of various ocular anomalies reported in association with dextrocardia in the literature.
- Highlighting the rarity of this specific combination of congenital conditions.
Conclusions:
- The co-presentation of monocular elevation deficiency with dextrocardia and situs inversus represents a significant clinical rarity.
- Further research may elucidate potential shared genetic or developmental pathways.
- Understanding these associations is crucial for comprehensive patient diagnosis and management.
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