Korean J Ophthalmol.  2016 Oct;30(5):392-393. 10.3341/kjo.2016.30.5.392.

Ocular Myasthenia Gravis in Monozygotic Twins with Mirror-image Myopic Anisometropia

• Chung SA
• Jang S

• KMID: 2353834
• DOI: http://doi.org/10.3341/kjo.2016.30.5.392

Abstract

No abstract available.

MeSH Terms

Anisometropia*
Humans
Myasthenia Gravis*
Twins, Monozygotic*

Figure

• 

  Fig. 1 Fundus photographs showing the mirror-image myopic tilted disc, tigroid fundus, and reduction of foveal reflex in the left eye of twin 1 (A) and in the right eye of twin 2 (B), which is consistent with mirror-image amblyopia due to myopic anisometropia. Gaze photographs showing varied duction deficits at 19 years of age (C,D) and residual duction deficits 7 years later (E,F). (C) Twin 1 exhibited 55 prism diopters of left exotropia, and limited adduction in the left (-4) and right eye (-2). (D) Twin 2 exhibited ptosis of both eyes, limited adduction in the right eye (-4) and abduction in the left eye (-2). (E) Twin 1 is orthotropic in the primary position after muscle surgery; however, she still has an adduction deficit (-2) in the left eye. (F) Twin 2 exhibits 25 prism diopters of right exotropia, and markedly limited adduction (-4) in the right eye.

Reference

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