Inherited levator-medial rectus synkinesis

Archives of Ophthalmology
M P PangJ Goodwin

Abstract

We examined two sisters with lid retraction on adduction, the classic sign of levator-oculomotor synkinesis. In both women, the left eye was involved. No history of trauma or ocular surgery or complaints of diplopia were elicited, and both had good visual acuity and full ocular motility. Each exhibited 2 mm of left upper lid elevation on adduction and 4 to 6 mm of lid elevation on adduction with depression. In one of the sisters, 1 mm of ptosis was present in straight ahead gaze in the involved eye, which increased to almost 2 mm on abduction, but full levator function was observed. Four other family members in three consecutive generations were similarly affected, suggesting an autosomal-dominant mode of inheritance. To our knowledge, this type of isolated levator-oculomotor synkinesis has not been reported previously on a congenital and inherited basis.

Citations

Jan 3, 2001·The British Journal of Ophthalmology·T F McMullan, A G Tyers
Dec 24, 2004·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Arif O KhanShahira Al-Turkmani
Jan 19, 2006·Ophthalmic Plastic and Reconstructive Surgery·John R BurroughsRichard L Elliot
Sep 22, 2006·Orbit·Tristan F W McMullanAnthony G Tyers
Apr 15, 2004·Ophthalmic Plastic and Reconstructive Surgery·Shady T AwwadBaha' Noureddin
Jan 15, 2014·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Lulu L C D Bursztyn, Inas Makar

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