Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report

Perinatal history is often underrated in ophthalmologic consultation and may provide important information in order to establish an assertive diagnosis. Purpose: To report a case of a patient who was evaluated in two hospitals as a child and misdiagnosed with Goltz syndrome. Material and Meth...

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Main Authors: Leopoldo Garduño-Vieyra, Raúl Rúa Martínez, Isabel de la Fuente Batta
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2022-12-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2022/6/12-fulltext
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author Leopoldo Garduño-Vieyra
Raúl Rúa Martínez
Isabel de la Fuente Batta
author_facet Leopoldo Garduño-Vieyra
Raúl Rúa Martínez
Isabel de la Fuente Batta
author_sort Leopoldo Garduño-Vieyra
collection DOAJ
description Perinatal history is often underrated in ophthalmologic consultation and may provide important information in order to establish an assertive diagnosis. Purpose: To report a case of a patient who was evaluated in two hospitals as a child and misdiagnosed with Goltz syndrome. Material and Methods: it was ruled out a syndrome and the existence of three independent diagnoses was proposed: nevus of Ota, non-accommodative esotropia and left facial hemiparesis due to involvement of the VII cranial nerve. Results: A combined left eye strabismus surgery and neodymium Yag laser treatment were performed under sedation over the entire length of the nevus. Conclusion: The presence of facial palsy, strabismus or a nevus directs the physician to interrogate prenatal and perinatal issues to establish a complete diagnosis. The patient received treatment after several years and now she is satisfied.
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spelling doaj.art-16de4b9596d442199d3cf70928d927832023-12-09T15:34:40ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402022-12-016626410.31288/oftalmolzh202266264Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report Leopoldo Garduño-Vieyra0Raúl Rúa Martínez1Isabel de la Fuente Batta2Clínica Oftalmología Garduño Clínica Oftalmología Garduño Clínica Oftalmología Garduño Perinatal history is often underrated in ophthalmologic consultation and may provide important information in order to establish an assertive diagnosis. Purpose: To report a case of a patient who was evaluated in two hospitals as a child and misdiagnosed with Goltz syndrome. Material and Methods: it was ruled out a syndrome and the existence of three independent diagnoses was proposed: nevus of Ota, non-accommodative esotropia and left facial hemiparesis due to involvement of the VII cranial nerve. Results: A combined left eye strabismus surgery and neodymium Yag laser treatment were performed under sedation over the entire length of the nevus. Conclusion: The presence of facial palsy, strabismus or a nevus directs the physician to interrogate prenatal and perinatal issues to establish a complete diagnosis. The patient received treatment after several years and now she is satisfied. https://www.ozhurnal.com/en/archive/2022/6/12-fulltextnevusotagoltzmisdiagnosedoculodermal melanocytosis
spellingShingle Leopoldo Garduño-Vieyra
Raúl Rúa Martínez
Isabel de la Fuente Batta
Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report
Journal of Ophthalmology
nevus
ota
goltz
misdiagnosed
oculodermal melanocytosis
title Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report
title_full Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report
title_fullStr Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report
title_full_unstemmed Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report
title_short Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report
title_sort undiagnosed nevus of оta facial hemiparesis and esotropia a case report
topic nevus
ota
goltz
misdiagnosed
oculodermal melanocytosis
url https://www.ozhurnal.com/en/archive/2022/6/12-fulltext
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AT raulruamartinez undiagnosednevusofotafacialhemiparesisandesotropiaacasereport
AT isabeldelafuentebatta undiagnosednevusofotafacialhemiparesisandesotropiaacasereport