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“See-Saw” Marcus Gunn Syndrome

Kumar, Vinod M.S., F.R.C.S. (Glasg.); Goel, Neha M.S.; Raina, Usha K. M.D., F.R.C.Ophth.; Ghosh, Basudeb M.D.

Ophthalmic Plastic & Reconstructive Surgery: November-December 2011 - Volume 27 - Issue 6 - p e144-e145
doi: 10.1097/IOP.0b013e3182078e15
Case Reports

The authors report an unusual case of Marcus Gunn syndrome in an adult patient, characterized by classical Marcus Gunn on one side and inverse Marcus Gunn on the other side. The patient exhibited a “see-saw” kind of eyelid movement on opening and closing the mouth and on moving the jaw from side to side. This clinical entity has been reported very rarely. A similar but etiologically different acquired condition seen commonly in adults, Marin Amat syndrome, is also discussed.

Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, India

Accepted for publication November 11, 2010.

The authors report no financial or conflict of interest.

Address correspondence and reprint requests to Dr. Vinod Kumar, M.S., F.R.C.S. (Glasg.), 9/2 Punjabi Bagh Extension, New Delhi 110026, India. E-mail:

©2011The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.