purpose: to report two sisters with congenital myasthenic syndrome (cms) masquerading as myasthenia gravis. patients and findings: two six and seven years old sisters presented with variable strabismus, ptosis, and fatigue. all symptoms were aggravated with exercise and improved with rest. intramuscular prostigmin injection decreased their symptoms. a diagnosis of cms was made according to earl...

PURPOSE To report a unique surgical approach for congenital double elevator palsy with sensory exotropia. CASE REPORT A 7-year-old boy with congenital double elevator palsy and sensory exotropia was managed surgically by Callahan's procedure with recession and resection of the horizontal recti for exotropia without inferior rectus recession, followed by frontalis sling surgery for congenital ...

Purpose. To describe the long-term results of frontalis suspension using autogenous fascia lata in children with congenital ptosis under 3 years old. Methods. Forty three-eyes of 35 patients were enrolled in the study. Frontalis suspension using autogenous fascia lata was performed in all patients. The postoperative eyelid level, ptosis recurrence, visual acuity, and cosmetic results were evalu...

THERE have been described about thirty cases of this interesting phenomenon. Axenfeld and Schuirenberg (1901) have their names attached to the condition in the Continental literature; they called it " Cyclic Congenital Oculomotor Disease". Fuchs, however, described a case much earlier (1893). The clinical picture is quite different from recurrent oculomotor palsy. The cause is still a matter of...

Objective: To analyze the management of different types of ptosis of upper eyelid. Design: Descriptive Study. Place and Duration of Study: Eye department CMH Kharian, from January 2006 to December 2007. Patients and Methods: Thirty six patients having ptosis of upper eyelid, managed in eye department, were analyzed to find out frequency of different types of ptosis. Fifteen patients (27 eyes) w...

PURPOSE To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex suspension (GTS) regarding the functional and aesthetic outcomes in patients with bilateral congenital ptosis. PATIENTS AND METHODS A prospective comparative randomized single-center study enrolled 110 patients with bilateral congenital ptosis. One group (n=55) underwent AFLS and the second group (n=55) underwe...

PURPOSE Congenital ptosis is a troubling eye condition for pediatric ophthalmologists. There are many considerations to contemplate when deciding when to operate and which technique to use. METHODS A retrospective chart review of 69 pediatric patients treated for congenital ptosis using a double rhomboid frontalis sling with a nylon suture at a single tertiary care center. RESULTS For patie...