Oculomotor nerve palsy in an asymptomatic child with COVID-19.

J AAPOS

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:

Published: June 2021

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 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 for near), adduction, ptosis, and mydriasis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7936124PMC
http://dx.doi.org/10.1016/j.jaapos.2021.02.001DOI Listing

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