Oculomotor nerve palsy in an asymptomatic child with COVID-19

We report the case of a 2-year-old girl with acute-onset divergent strabismus and ptosis in the right eye. She had an exotropia of 45Δ for near, eyelid ptosis affecting the visual axis, adduction, limitations of up- and downgaze, and a discrete mydriasis in the right eye. Neurological conditions wer...

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Bibliographic Details
Published inJournal of AAPOS Vol. 25; no. 3; pp. 169 - 170
Main Authors de Oliveira, Marcela R., Lucena, Ana Regina V.P., Higino, Taciana M.M., Ventura, Camila V.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2021
American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc
Subjects
Blepharoptosis - diagnosis
Child, Preschool
COVID-19
Exotropia - diagnosis
Female
Humans
Oculomotor Muscles
Oculomotor Nerve Diseases - diagnosis
SARS-CoV-2
Short Report
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Summary:We report the case of a 2-year-old girl with acute-onset divergent strabismus and ptosis in the right eye. She had an exotropia of 45Δ for near, eyelid ptosis affecting the visual axis, adduction, limitations of up- and downgaze, and a discrete mydriasis in the right eye. Neurological conditions were ruled out. Serology was positive for SARS-CoV-2 antibodies. The patient was managed conservatively with ocular physiotherapy and close visual acuity monitoring. On follow-up examination at 1 month, there was marked improvement of the exotropia (25Δ for near), adduction, ptosis, and mydriasis.
ISSN:1091-8531
1528-3933
DOI:10.1016/j.jaapos.2021.02.001