Sjogren’s syndrome in association with ophthalmoplegia
Reviewed by Fiona Rowe

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.

Total external ophthalmoplegia: first clinical manifestation of Sjogren’s syndrome.
Singh A, Mahesh M, Agrawal A, et al.
STRABISMUS
2019;27(4):218-22.