DR. SWASTI PANDEY

DR. KIRTI VERMA, DR. TANMAY SRIVASTAV, DR. DEEPAK MISHRA

Abstract

Purpose:- Kearns Sayre Syndrome is a rare mitochondrial myopathy disorder with characteristic systemic and ocular findings like gait disturbances, juvenile onset diabetes mellitus, ptosis and chronic progressive external ophthalmoplegia.

Method:- A 29 yr female presented with complaints of drooping of bilateral eyelids and restriction of eyeball movements.Onset of drooping of right eyelid was at 2 years and of left at 6 years. She developed complete restriction of movements by 14 years of age. Simultaneously, she also presented with 2-3 episodes of loss of consciousness for which she was referred to Neurology and Endocrinology.

Results:- On thorough ophthalmic examination patient was found to have bilateral symmetrical ptosis with complete external ophthalmoloplegia.Visual acuity was reduced and she had ataxia and juvenile onset diabetes mellitus.

Conclusion-Kearns Sayre is a rare disorder manifesting as ptosis that has to be ruled from other acquired causes for effective management.