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      • Record: found
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      Neonatal diagnosis of Marcus Gunn jaw‐winking syndrome

      case-report

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          Abstract

          This report highlights the importance for neonatologists/pediatricians of considering Marcus Gunn jaw‐winking syndrome among differential diagnoses of ptosis. A detailed clinical assessment is crucial to promptly recognize and appropriately manage it.

          Abstract

          This report highlights the importance for neonatologists/pediatricians of considering Marcus Gunn jaw‐winking syndrome among differential diagnoses of ptosis. A detailed clinical assessment is crucial to promptly recognize and appropriately manage it.

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          Most cited references12

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          Duane retraction syndrome: causes, effects and management strategies

          Ramesh Kekunnaya, Mithila Negalur (2017)
          Duane retraction syndrome (DRS) is a congenital eye movement anomaly characterized by variable horizontal duction deficits, with narrowing of the palpebral fissure and globe retraction on attempted adduction, occasionally accompanied by upshoot or down-shoot. The etiopathogenesis of this condition can be explained by a spectrum of mechanical, innervational, neurologic and genetic abnormalities occurring independently or which influence each other giving rise to patterns of clinical presentations along with a complex set of ocular and systemic anomalies. Huber type I DRS is the most common form of DRS with an earlier presentation, while Huber type II is the least common presentation. Usually, patients with unilateral type I Duane syndrome have esotropia more frequently than exotropia, those with type II have exotropia and those with type III have esotropia and exotropia occurring equally common. Cases of bilateral DRS may have variable presentation depending upon the type of presentation in each eye. As regards its management, DRS classification based on primary position deviation as esotropic, exotropic or orthotropic is more relevant than Huber’s classification before planning surgery. Surgical approach to these patients is challenging and must be individualized based on the amount of ocular deviation, abnormal head position, associated globe retraction and overshoots.
          Article 0 comments Cited 15 times – based on 0 reviews     Review now
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            Clinical presentation and management of congenital ptosis

            Marco Marenco, Ilaria Macchi, Iacopo Macchi … (2017)
            Congenital ptosis is a rare condition characterized by lower positioning of the upper eyelid that is present at birth and is a clinical condition that is persistent if not treated. It may be unilateral or bilateral and may be associated with other ocular disorders or systemic conditions, including Marcus Gunn, Horner, and Duane syndromes. It is a benign condition but causes functional, cosmetic, and psychological problems in children. However, not all patients need to undergo surgery, and usually only patients at risk of amblyopia need a prompt surgical correction, while in other cases, surgery can be postponed. The grade of ptosis, the eyelid function, and the amblyopic risk are the parameters that affect the ophthalmologist’s decision on timing of surgery and the surgical technique to be used. In fact, there are several types of surgical techniques to correct a congenital ptosis, although very often more than one is needed to obtain an acceptable result. This paper reviews the causes of congenital ptosis and associated diseases. Particular emphasis is given to surgical management and different procedures available to correct the upper eyelid anomaly and avoid permanent damage to visual function.
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              The Marcus Gunn phenomenon. A review of 71 cases.

              Eric Beyer, Iain Pratt, Kevin C. Johnson (1983)
              We have reviewed the clinical findings, natural course, pathologic observations, and management of 71 patients with the Marcus Gunn phenomenon. We found individuals with this syndrome to have a significant incidence of amblyopia (59%), double elevator palsy (25%), anisometropia (25%), and superior rectus muscle palsy (23%). Long-term follow-up did not reveal a case that improved with age. In most patients requiring surgery, we recommend a unilateral levator excision on the affected side plus a bilateral frontalis suspension.
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                Author and article information

                Contributors
                Valentina Chiavaroli:
                ORCID: https://orcid.org/0000-0003-0555-2173
                valentinachiavaroli@hotmail.it
                Journal
                Journal ID (nlm-ta): Clin Case Rep
                Journal ID (iso-abbrev): Clin Case Rep
                Journal ID (doi): 10.1002/(ISSN)2050-0904
                Journal ID (publisher-id): CCR3
                Title: Clinical Case Reports
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2050-0904
                Publication date (Electronic): 20 December 2020
                Publication date Collection: February 2021
                Volume: 9
                Issue: 2 ( doiID: 10.1002/ccr3.v9.2 )
                Pages: 866-869
                Affiliations
                [ 1 ] Department of Pediatrics Gabriele d'Annunzio University of Chieti and Pescara Chieti Italy
                [ 2 ] Neonatal Intensive Care Unit Pescara Public Hospital Pescara Italy
                [ 3 ] Liggins Institute The University of Auckland Auckland New Zealand
                [ 4 ] Department of Ophthalmology Pescara Public Hospital Pescara Italy
                Author notes
                [*] [* ] Correspondence

                Valentina Chiavaroli, Neonatal Intensive Care Unit, Pescara Public Hospital, Pescara, Italy.

                Email: valentinachiavaroli@ 123456hotmail.it

                Author information
                https://orcid.org/0000-0003-0555-2173
                Article
                Publisher ID: CCR33664
                DOI: 10.1002/ccr3.3664
                PMC ID: 7869362
                SO-VID: b0be275d-3c5f-4718-8c72-c2a002db43cf
                Copyright © © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 07 August 2020
                Date revision received : 13 November 2020
                Date accepted : 24 November 2020
                Page count
                Figures: 2, Tables: 0, Pages: 4, Words: 1874
                Categories
                Subject: Case Report
                Subject: Case Reports
                Custom metadata
                source-schema-version-number 2.0
                cover-date February 2021
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.7 mode:remove_FC converted:08.02.2021

                Keywords: marcus gunn syndrome | newborn | ophthalmology; congenital ptosis
                Data availability:
                Keywords: marcus gunn syndrome | newborn | ophthalmology; congenital ptosis

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