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Year : 2012  |  Volume : 60  |  Issue : 6  |  Page : 558-560

A rare case of Moebius sequence

1 Department of Ophthalmology, Dr SM CSI Medical College, Trivandrum, India
2 Department of Ophthalmology, Mamata Medical College, Khammam, India
3 Department of Ophthalmology, M S Ramiah Medical College, Bangalore, India

Correspondence Address:
Abhishek Kulkarni
S/O Dr. Pranesh Kulkarni, Plot Number 9, Opp. P & T Quarters, Old Jewargi Road, Gulbarga - 585101, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.103798

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We report a case of an 18-year-old male who presented with watering and inability to close the left eye completely since 6 months and inability to move both eyes outward and to close the mouth since childhood. Ocular, facial, and systemic examination revealed that the patient had bilateral complete lateral rectus and bilateral incomplete medial rectus palsy, left-sided facial nerve paralysis, thickening of lower lip and inability to close the mouth, along with other common musculoskeletal abnormalities. This is a typical presentation of Moebius syndrome which is a very rare congenital neurological disorder characterized by bilateral facial and abducens nerve paralysis. This patient had bilateral incomplete medial rectus palsy which is suggestive of the presence of horizontal gaze palsy or occulomotor nerve involvement as a component of Moebius sequence.

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