Two Cases of Mirror-Image Eye Anomalies in Monozygotic Twins.
10.3341/kjo.2010.24.5.314
- Author:
Wook Kyum KIM
1
;
Seung Ah CHUNG
;
Jong Bok LEE
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. 491209@yuhs.ac
- Publication Type:Case Report
- Keywords:
Anisometropia;
Identical twins;
Infantile nystagmus;
Intermittent exotropia;
Mirror image anomaly
- MeSH:
Child;
Eye Abnormalities/*diagnosis/genetics/surgery;
Eyeglasses;
Female;
Humans;
Male;
Twins, Monozygotic;
Visual Acuity
- From:Korean Journal of Ophthalmology
2010;24(5):314-317
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report two cases of mirror image anomalies in two different pairs of monozygotic twins. In case 1, the twins exhibited mirroring of strabismus and refractive errors. Twin 1 had 35 prism diopters (PD) right intermittent exotropia at distant fixation and myopic anisometropia that was spherical 2.00 diopters more myopic in the right eye. Twin 2 had 35 PD left intermittent exotropia at distant fixation and her left eye was more myopic by - spherical 1.00 diopters. In case 2, the twins were diagnosed with infantile nystagmus with upbeat jerk. Twin 1 exhibited a habitual head turn of 30degrees to the left with dampening of her nystagmus in dextroversion. Twin 2 also exhibited abnormal head position, but in his case the habitual turn was 30degrees to the right. We believe that this is the first report describing mirror imaged intermittent exotropia with anisometropia and infantile nystagmus with opposite abnormal head positions in pairs of monozygotic twins.
