A Case of Fetal Alcohol Syndrome with Esotropia.

Cho, Yun Keun; Chang, Sung Dong; Kim, Yu Choel; Lee, Se Youp

Case Report

Journal of the Korean Ophthalmological Society 2005;46(10):1756-1759.
Published online October 31, 2005.

A Case of Fetal Alcohol Syndrome with Esotropia.

Yun Keun Cho, Sung Dong Chang, Yu Choel Kim, Se Youp Lee

Department of Ophthalmology, College of Medicine, Keimyung University, Daegu, Korea. lsy3379@dsmc.or.kr

내사시를 동반한 태아알코올증후군 1예

조윤근,장성동,김유철,이세엽

Department of Ophthalmology, College of Medicine, Keimyung University, Daegu, Korea

Correspondence: Yun-Keun Cho, M.D.

Abstract

PURPOSE
Here, we report a case of an infant with fetal alcohol syndrome with esotropia who was born to a mother who consumed a large quantity of alcohol during her pregnancy. METHODS: A 1-year-old female infant visited our hospital for the main symptom of the esodeviation of the eye. The medical history of the mother and the delivery history were reviewed, and a physical examination and ophthalmic examination of the infant were performed. RESULTS: At the first examination, the patient was 15 months old, her mass was 5, 600 grams, her height was 70 cm, her head circumference was 39.5 cm, and her chest circumference was 41 cm; all the measurements were below the 3rd percentile. From the gestation age of 24 weeks, the mother consumed 1-2 bottles of sojoo every day, and the infant patient was delivered at the gestation age of 42 weeks by Cesarean section. The infant's birth weight was 1, 510 grams. Upon physical examination, her philtrum was found to be shallow, and microcephaly was detected. Upon ophthalmic examination, a refractive error +1.25 Dsph. was detected. With regard to the horizontal length of the palpebral fissure, the right and the left were 1.7 cm and 1.6 cm, respectively, which is considered short; telecanthus and esotropia were also present. CONCLUSIONS: To the best of our knowledge, this is the first reported case of fetal alcohol syndrome with accompanying esotropia.

Key Words: Esotropia;Fetal alcohol syndrome;Strabismus