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First Sight Diagnosis

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In this article, 4 cases of children followed in hospital consultation are described: a 7-month-old male infant, with mild left eyelid ptosis at rest; a 14-month-old male infant, with bilateral… Click to show full abstract

In this article, 4 cases of children followed in hospital consultation are described: a 7-month-old male infant, with mild left eyelid ptosis at rest; a 14-month-old male infant, with bilateral palpebral ptosis and winking movements of the eyes, especially noted when eating and looking down (Figure 1); a 34-month-old male child, with left palpebral ptosis when crying; and a 9-monthold male infant, with mild right eyelid ptosis with suction. All children were previously healthy, and none of the cases had a family history of ophthalmological disease or other relevant diseases. All cases were oriented to ophthalmology consultation, where the diagnosis of Marcus Gunn’s syndrome (MGS) was confirmed. In all clinical cases, the diagnosis of MGS was early, and the clinical presentation consisted of variable palpebral ptosis present from birth, in 2 cases on the left eyelid, one on the right eyelid, and in the other bilaterally. All the cases were monitored on consultation and no ophthalmologic complications were identified during the mean follow-up period of 32 months (between 11 months and 5 years and 10 months). Discussion

Keywords: month old; diagnosis; ptosis; male infant; old male

Journal Title: Clinical Pediatrics
Year Published: 2019

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