양측성 마쿠스 건 증후군 1예

• 영문명: A Case of Bilateral Marcus-Gunn Syndrome
• 발행기관: 대한안과학회
• 저자명: 최성욱 양재욱 이슬기,Sung Wook Choi, MD, Jae Wook Yang, MD, PhD, Sul Gee Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number2, 299~302쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.02.15

영문 초록

Purpose: To report a case of bilateral Marcus Gunn syndrome, which can be easily overlooked. Case summary: A 6‐year‐old boy visited our clinic complaining of right ptosis. On ocular examination, the palpebral fissure width was 4 mm in the right lid and 7 mm in the left lid. Marginal reflex distance 1 (MRD 1) was ‐1 mm in the right lid and 2 mm in the left lid. Bilateral levator muscle function was good. When the patient moved the jaw to the right side, the left eyelid was retracted by 2 mm, and when the jaw was moved to the left side, the right upper eyelid retracted by 4 mm, which showed a moderate bilateral jaw‐winking phenomenon. There was no change in bilateral palpebral fissure width when only opening the mouth without jaw movement. Conclusions: Asymmetrical bilateral ptosis can be easily misdiagnosed for unilateral ptosis, and concurrent Marcus Gunn phenomenon can exist. Therefore, a thorough examination is necessary when examining a ptosis patient.

키워드

Bilateral marcus gunn syndrome, Jaw‐ winking phenomenon, Ptosis