Oculomotor nerve palsy in an asymptomatic child with COVID-19

Marcela R de Oliveira; Ana Regina V P Lucena; Taciana M M Higino; Camila V Ventura

doi:10.1016/j.jaapos.2021.02.001

Oculomotor nerve palsy in an asymptomatic child with COVID-19

J AAPOS. 2021 Jun;25(3):169-170. doi: 10.1016/j.jaapos.2021.02.001. Epub 2021 Mar 6.

Authors

Marcela R de Oliveira¹, Ana Regina V P Lucena², Taciana M M Higino³, Camila V Ventura⁴

Affiliations

¹ Department of Ophthalmology, Altino Ventura Foundation, Recife, Pernambuco, Brazil.
² Villa Saúde Health Center, Serra Talhada, Pernambuco, Brazil.
³ Department of Research, Altino Ventura Foundation, Recife, PE, Brazil.
⁴ Department of Ophthalmology, Altino Ventura Foundation, Recife, Pernambuco, Brazil; Department of Research, Altino Ventura Foundation, Recife, PE, Brazil; Department of Ophthalmology, HOPE Eye Hospital, Recife, Pernambuco, Brazil. Electronic address: camilaventuramd@gmail.com.

Abstract

We report the case of a 2-year-old girl with acute-onset divergent strabismus and ptosis in the right eye. She had an exotropia of 45^Δ for near, eyelid ptosis affecting the visual axis, adduction, limitations of up- and downgaze, and a discrete mydriasis in the right eye. Neurological conditions were ruled out. Serology was positive for SARS-CoV-2 antibodies. The patient was managed conservatively with ocular physiotherapy and close visual acuity monitoring. On follow-up examination at 1 month, there was marked improvement of the exotropia (25^Δ for near), adduction, ptosis, and mydriasis.

Publication types

Case Reports

MeSH terms

Blepharoptosis* / diagnosis
COVID-19*
Child, Preschool
Exotropia* / diagnosis
Female
Humans
Oculomotor Muscles
Oculomotor Nerve Diseases* / diagnosis
SARS-CoV-2