Dr.SUSMITA BHUIYA

Dr.Tapan Gogoi, Dr. Gogoi Rajendra Nath

Abstract

10 year boy presented with Deviation of the L/E towards right side and double vision for 1 month. The deviation of L/E was sudden in onset and constant throughout the day. Double vision was more on looking straight and on levoversion, and less on dextroversion. H/O Nasal stuffiness for few days. No H/O trauma,No H/O of fever, headache, or neck stiffness. On ocular examination, his BCVA was 6/6 in both eyes and there was restricted abduction in the L/E. His fundus examination was WNL. His systemic workup was WNL. NECT Brain-Left Maxillary and Ethmoidal Sinusitis.MRI brain with Orbit-Pansinusitis. MRA-Right Transverse Sinus Hypoplasia and thin Left Lateral Rectus Muscle. A diagnosis of ISOLATED LATERAL RECTUS PALSY L/E OF UNKNOWN ETIOLOGY was made. The patient was conservatively treated with Inj. Vit. B1+B6+B12, followed by Tab Vitamin B Complex, Tab Prednisolone 10 mg, and medications for sinusitis. follow up was done on day 1, 7, 14 and 21 and showed signs of slow improvement.