Novel finding of atrophic extraocular muscles in Loeys-Dietz syndrome: a case report and review of the literature

Varsha S Sathappan; Kanwal S Matharu; David K Coats; Evelyn A Paysse

doi:10.1016/j.jaapos.2020.11.010

Novel finding of atrophic extraocular muscles in Loeys-Dietz syndrome: a case report and review of the literature

J AAPOS. 2021 Apr;25(2):119-121. doi: 10.1016/j.jaapos.2020.11.010. Epub 2021 Mar 3.

Authors

Varsha S Sathappan¹, Kanwal S Matharu², David K Coats², Evelyn A Paysse³

Affiliations

¹ Baylor College of Medicine, Houston, Texas.
² Department of Ophthalmology, Baylor College of Medicine, Houston, Texas; Division of Ophthalmology, Department of Surgery, Texas Children's Hospital, Houston.
³ Department of Ophthalmology, Baylor College of Medicine, Houston, Texas; Division of Ophthalmology, Department of Surgery, Texas Children's Hospital, Houston. Electronic address: [email protected].

PMID: 33675960
DOI: 10.1016/j.jaapos.2020.11.010

Abstract

A 19-year-old man with Loeys-Dietz syndrome and right exotropic Duane syndrome after bilateral lateral rectus recessions at age 22 months presented with recurrent progressive exotropia 17 years after his initial surgery. Surgical correction was aborted intraoperatively when extreme atrophy of the right medial rectus, lateral rectus, and superior rectus muscles was observed, later corroborated by orbital magnetic resonance imaging.

Publication types

Case Reports
Research Support, Non-U.S. Gov't
Review

MeSH terms

Atrophy
Duane Retraction Syndrome* / surgery
Exotropia* / etiology
Exotropia* / surgery
Humans
Loeys-Dietz Syndrome* / diagnosis
Loeys-Dietz Syndrome* / surgery
Male
Oculomotor Muscles / diagnostic imaging
Oculomotor Muscles / surgery
Ophthalmologic Surgical Procedures
Young Adult