International Ophthalmology 2017-Apr
A case of atypical ophthalmoplegia after Chikungunya fever.
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概要
OBJECTIVE
This study aims to report an unusual case of bilateral diffuse ophthalmoplegia with levator sparing, in a patient after an episode of Chikungunya fever.
METHODS
Case report of a five-year-old girl with inability to move both eyes along with decreased near vision.
CONCLUSIONS
Bilateral external ophthalmoplegia has been described as a part of the spectrum of ocular manifestations of this arbovirus-associated fever. This is the first report of its kind in a pediatric patient. In addition, there was evidence of internal ophthalmoplegia as well. Recognition of this rare clinical presentation can help avoid misdiagnosis as Guillain-Barré syndrome or its ocular variant, namely Miller Fisher Syndrome.
