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Möbius syndrome: surgical treatment for eyelid dysfunction

Gloria Lopez-Valverde¹, Elena Jarrin-Hernandez¹, Fernando Cruz-Gonzalez¹

¹Servicio de Oftalmología, Sección de Oculoplástica y Dacriología, Hospital Universitario Ramón y Cajal, Madrid, Spain.

Case Reports in Ophthalmology

|December 19, 2013

Abstract

Introduction:

Möbius syndrome is a heterogeneous congenital disorder that is linked to bilateral palsies of the cranial nerves VI and VII, resulting in congenital facial paralysis sometimes associated with impaired ocular abduction.

Case Report:

We present the case of a 44-year-old woman with Möbius syndrome and inferior recurrent keratitis secondary to scleral show in both eyes. We decided to use a cartilage graft from the ear in the inferior eyelid to avoid eyelid retraction and scleral show.

Discussion:

Patients with Möbius syndrome have a severe dysfunction of their facial mimic. Their treatment must be individualized, depending on their age, clinical examination and symptoms.

Keywords:

Eyelid dysfunction Inferior recurrent keratitis Möbius syndrome Scleral show

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