The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Congenital fibrosis
syndrome
Photo by Professor Chua Chung Nen
This 5 year-old boy was
born with a left exotropia. Eye movement is restricted in all directions but
he has no ptosis. The visual acuity is 6/6 in the right eye and CF in the
left eye. The fundal examination is normal. The most likely diagnosis is
congenital fibrosis syndrome involving the lateral rectus, inferior rectus
and the superior rectus. However, to confirm the diagnosis a positive forced
duction test is essential. The patient will undergo forced duction test
under general anaesthesia and if positive surgery will be performed to
centre the eye.
