Medical Case of the Month
A pediatrician referred a 7-month-old baby boy to Eye Care Hawaii to exam his left eye, which was turning. The boy’s parents mentioned that the eye turn was frequent since birth. During the exam, we discovered the boy had limited ability to abduct (movement outward) the left eye. All other vision and ocular health testing was normal.
The patient was diagnosed with Duane’s Syndrome Type 1, which is caused by faulting wiring of the eye muscles. Unfortunately, Duane’s Syndrome cannot be cured; most cases are not inherited, and presentation often starts from birth. Surgery cannot eliminate the abnormal eye movements but can minimize severe head turns or eye turns, but most cases do not need surgery.
We advised the boy's parents to watch for any abnormal head turns or up or down shoots of the eye in the future. No treatment was necessary in this case.
Eye Care Hawaii works with many pediatricians on our island. Please contact our office if you have any concerns about your newborn’s or young child’s eyes.