Incidental detection of bilateral corectopia by photo screening leads to the diagnosis of multiple sclerosis. A case report.

ABSTRACT

PURPOSE: To describe a case of an incidental finding of bilateral corectopia detected by photo screening which ultimately led to the diagnosis of multiple sclerosis. METHODS: Case presentation and literature review. RESULTS: Corectopia may be congenital or acquired. Midbrain corectopia is commonly caused by infarction and demyelinating disease can cause autonomic pupil abnormalities resulting in corectopia. CONCLUSION: A careful history and ocular examinatin can aid in determining the etiology of corectopia. Additional genetics or neurologic consultation may be necessary to diagnosis systemic disease.