Congenital third nerve palsy, moyamoya disease and optic nerve head staphyloma
- K Sabti1,
- B A Hajj1,
- J-M Hwang2,3,
- E I Traboulsi3,
- J Reid4
- 1Al-Bahar Eye Center and the Department of Ophthalmology, University of Kuwait, Kuwait City, Kuwait
- 2Department of Ophthalmology, Seoul Municipal Boramae Hospital, College of Medicine Seoul National University, Seoul, Korea
- 3The Center for Genetic Eye Diseases, Cole Eye Institute, Cleveland, OH, USA
- 4Department of Pediatric Radiology, The Cleveland Clinic Foundation, Cleveland, OH, USA
- 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
- Accepted 1 November 2004
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 …
