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Congenital third nerve palsy, moyamoya disease and optic nerve head staphyloma
  1. K Sabti1,
  2. B A Hajj1,
  3. J-M Hwang2,3,
  4. E I Traboulsi3,
  5. J Reid4
  1. 1Al-Bahar Eye Center and the Department of Ophthalmology, University of Kuwait, Kuwait City, Kuwait
  2. 2Department of Ophthalmology, Seoul Municipal Boramae Hospital, College of Medicine Seoul National University, Seoul, Korea
  3. 3The Center for Genetic Eye Diseases, Cole Eye Institute, Cleveland, OH, USA
  4. 4Department of Pediatric Radiology, The Cleveland Clinic Foundation, Cleveland, OH, USA
  1. Correspondence to: Elias I Traboulsi MD, Center for Genetic Eye Disease, Cole Eye Institute, The Cleveland Clinic Foundation, i32, 9500 Euclid Avenue, Cleveland, OH 44195, USA; traboueccf.org

https://doi.org/10.1136/bjo.2004.059246

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    The association of congenital optic nerve head anomalies, especially of the morning glory disc variety, with moyamoya disease is well recognised and has been described in a number of patients.1–4 To the best of our knowledge, the occurrence of a congenital third nerve palsy with moyamoya disease and a congenital optic nerve head anomaly has not been reported. We describe a patient who demonstrated the ipsilateral occurrence of these three congenital abnormalities, strengthening the association of congenital optic nerve and carotid abnormalities and suggesting a common underlying aetiology.

    Case report

    A 3 year old boy was examined because of left sided exotropia and blepharoptosis. His birth, developmental, and medical histories were unremarkable. Visual acuity was 20/25 right eye and 20/200 left eye. There was a near total ptosis of the left upper eyelid. There …

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