CASE REPORT
Year : 2019  |  Volume : 27  |  Issue : 1  |  Page : 44-46

Unilateral Isolated Internal Ophthalmoplegia − Idiopathic Etiology


1 Department of Pediatric Ophthalmology and Strabismus, Sankara Eye Hospital, Bengaluru, Karnataka, India
2 DNB, Dept of Pediatric Ophthalmology and Strabismus, Sankara Eye Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Sowmya Raveendra Murthy
Department of Pediatric Ophthalmology and Strabismus, Sankara Eye Hospital, Varthur main road, Kundlahalli gate, Bengaluru, Karnataka - 560035
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njo.njo_27_18

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Unilateral internal ophthalmoplegia is rare to occur as an isolated entity. Herein, we report a case of a young boy with isolated unilateral internal ophthalmoplegia, that is, mydriasis with absent near response without external ophthalmoplegia. There was neither light-near dissociation nor supersensitivity to dilute pilocarpine. Neuroimaging including magnetic resonance imaging and magnetic resonance angiography was normal. Follow-up for over 2 years showed no change in pupil size and reaction. The internal ophthalmoplegia was presumed to be idiopathic in nature.


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