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http://doi.org/10.31288/oftalmolzh202266264

Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case report 

Leopoldo Garduño-Vieyra, Ophthalmologist, Master in Administration; Raúl Rúa Martínez, Isabel de la Fuente Batta

Clínica Oftalmología Garduño 

Irapuato, Guanajuato (México)

ЯКЦИТУВАТИ: Garduño Vieyra Leopoldo. Undiagnosed nevus of Оta, facial hemiparesis and esotropia: a case / Leopoldo Garduño Vieyra, Raúl Rúa Martínez, Isabel de la Fuente Batta // Офтальмол. журн. — 2022. — № 6. — С. 62-64. http://doi.org/10.31288/oftalmolzh202266264

 

Perinatal history is often underrated in ophthalmologic consultation and may provide important information in order to establish an assertive diagnosis. 

Purpose: To report a case of a patient who was evaluated in two hospitals as a child and misdiagnosed with Goltz syndrome.

Material and Methods: it was ruled out a syndrome and the existence of three independent diagnoses was proposed: nevus of Ota, non-accommodative esotropia and left facial hemiparesis due to involvement of the VII cranial nerve.

Results: A combined left eye strabismus surgery and neodymium Yag laser treatment were performed under sedation over the entire length of the nevus.

Conclusion: The presence of facial palsy, strabismus or a nevus directs the physician to interrogate prenatal and perinatal issues to establish a complete diagnosis. The patient received treatment after several years and now she is satisfied. 

Key words: nevus, Ota, Goltz, misdiagnosed, oculodermal melanocytosis

 

References

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Information about authors and disclosure of information

Corresponding author: Raúl Rúa Martínez - ruamartinez@yahoo.es 

Authors’ contributions: All authors contributed equally to this work

Conflict of interest. The authors declare that they have no conflict of interest with this article. 

Ethical statement: The written informed consent was obtained from the patient.

 

Received 07.02.2021