ABSTRACT
INTRODUCTION: To study the rare and unusual causes of monocular elevation deficit. METHODS: Five patients presenting to us with diplopia and elevation deficit were thoroughly examined and were found to have monocular elevation deficit due to rare causes. OBSERVATIONS: All five were found to have different underlying etiologies - iatrogenic, sphenoid wing meningioma, cysticercosis, sarcoidosis and mid brain infarct, and were managed appropriately. DISCUSSION: Monocular Elevation Deficit can occur due to a variety of causes. Having a high index of suspicion for the more serious etiologies is of utmost importance. Thorough clinical examination and imaging help clinch the diagnosis.
Subject(s)
Diplopia , Meningioma , Humans , Female , Meningioma/complications , Male , Middle Aged , Diplopia/etiology , Diplopia/physiopathology , Diplopia/diagnosis , Adult , Meningeal Neoplasms/complications , Sarcoidosis/complications , Sarcoidosis/diagnosis , Sarcoidosis/physiopathology , Cysticercosis/complications , Cysticercosis/diagnosis , Cysticercosis/physiopathology , Iatrogenic Disease , Brain Infarction/complications , Brain Infarction/diagnostic imaging , Brain Infarction/physiopathology , Aged , Oculomotor Muscles/physiopathology , Ocular Motility Disorders/physiopathology , Ocular Motility Disorders/etiology , Ocular Motility Disorders/diagnosis , Magnetic Resonance Imaging , Vision, Monocular/physiology , Sphenoid BoneABSTRACT
A 5-month-old girl presented with bilateral upper and lower eyelid cicatricial ectropion with right eye exposure keratopathy and bilateral lateral canthal defects. Physical examination revealed a constriction band over the temporal area of the head and nasal bridge; she was diagnosed with congenital amniotic band syndrome (ABS). Upper and lower eyelid reconstruction procedures were performed along with lateral canthal reconstruction to salvage the remaining left eye. Congenital ABS is a rare disorder. Most cases of ocular ABS are associated with limb deformities due to constriction defects and blood flow restrictions. Our patient presented solely with ocular and periocular deformities.