Globe retraction in a patient with nanophthalmos (Olgu Sunumu)
Nohutcu, Ahmet Fazıl
Ortak, Hatice Nur
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We present a case of bilateral nanophthalmos with ipsilateral globe retraction and narrowing of the palpebral fissure on adduction of the left eye. A complete ophthalmological examination, including strabismic evaluation, gonioscopy, ultrasound and magnetic resonance imaging (MRI) was performed. The 14 year-old girl had bilateral nanophthalmos with pseudopapilloedemas and macular folds, anterior chamber angles of Shaffer grade II, and arcuate scotomas. She had orthotropia. There was ipsilateral globe retraction with narrowing of the palpebral fissure on adduction of the left eye, and no ocular motility restriction. Both abducens nerves were detectable on MRI. Her brother had bilateral nanophthalmos without ocular motility disorder. We suggest that the phenomenon of globe retraction in this case may be related to mechanical factors rather than innervational abnormalities.