A Case Study: Management Options for a Patient with Congenital Fibrosis of the Extraocular Muscles
Frances Vogrin, BOrth&OphthSc 1
Kailin Karen Zhang, BOrth&OphthSc(Hons) 2
1 Department of Clinical Vision Sciences, La Trobe University, Melbourne, Australia
2 Orthoptic Department, Singapore National Eye Centre, Singapore
Congenital fibrosis of the extraocular muscles is a relatively static congenital disorder leading to restrictive extraocular movements. The need for early intervention is vital to alleviate the development of an abnormal head posture and to lower the risk of amblyopia. A case of an 18-year-old male with congenital fibrosis, bilateral blepharoptosis, chin-up head posture, and external ophthalmoplegia is presented. His mother and older brother also exhibited similar clinical signs, thereby suggesting a familial pattern. Surgical management is discussed in light of the patient’s presentation.
