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Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
Published on: February 15, 2022
Bilateral horizontal gaze palsy, esotropia, and diplopia secondary to anti-Hu paraneoplastic syndrome
1Corewell Health William Beaumont University Hospital Eye Institute, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan.
Abstract:
Paraneoplastic syndrome (PNS) refers to complications of cancer that arise from remote effects via immune-mediated mechanisms rather than direct effects from a neoplasm or metastases. Clinical presentations can be highly variable and may include optic neuropathy, opsoclonus, and neuromuscular junction disease. We report the case of a 40-year-old man with PNS who presented with complete bilateral horizontal gaze palsy, bilateral esotropia, and diplopia. He underwent bilateral full-tendon transpositions of the vertical rectus muscles to the lateral rectus muscle, with lateral augmentation sutures on the more severely affected left eye. The esotropia and diplopia had largely resolved by postoperative week 6, but horizontal movements were still absent.
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