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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
Summary
Möbius syndrome, a congenital disorder causing facial paralysis, can lead to recurrent keratitis due to scleral show. Surgical intervention using cartilage grafts can effectively treat this complication.
Area of Science:
- Ophthalmology
- Neurology
- Plastic Surgery
Background:
- Möbius syndrome is a rare congenital disorder characterized by bilateral cranial nerve VI and VII palsies.
- This can result in congenital facial paralysis and, in some cases, impaired ocular abduction.
Observation:
- A 44-year-old woman with Möbius syndrome presented with recurrent inferior keratitis in both eyes.
- The keratitis was secondary to significant scleral show, a condition where the white of the eye is excessively visible.
Findings:
- The patient underwent surgical correction using an autologous auricular cartilage graft placed in the inferior eyelid.
- This procedure aimed to correct eyelid retraction and reduce scleral show, thereby preventing further keratitis.
Implications:
- This case highlights a potential surgical solution for managing recurrent keratitis in Möbius syndrome patients.
- Individualized treatment approaches are crucial for managing the complex needs of patients with Möbius syndrome, considering their age and specific symptoms.
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