This is a case report of a 28-year-old female complaining of horizontal and vertical diplopia with inability to move her right eye and sudden onset right ptosis. She complained of retro-orbital pain with headache and a foreign body sensation in her eyes. There was no previous history. Visual acuities were 6/6 and examination showed right ptosis, right exotropia of 10PD, limited depression of -3, and limited adduction, abduction and elevation of -4. Left eye movement was full. She had a poor right Bell’s response. Medical history included type 2 diabetes. Schirmer’s test showed dry eyes. A diagnosis was made of Sjogren’s syndrome. There was gradual resolution of right ophthalmoplegia and ptosis. This case adds to the spectrum of abnormalities associated with Sjogren’s syndrome.
Sjogren’s syndrome in association with ophthalmoplegia
Reviewed by Fiona Rowe
Total external ophthalmoplegia: first clinical manifestation of Sjogren’s syndrome.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
View Full Profile
