ABSTRACT

ABSTRACT: We present a 14 year-old female patient with bilateral nanophthalmos and globe retraction with narrowing of the palpebral fissure on adduction of the left eye. There was ortotropia in primary position, and no restriction of ocular motility. Magnetic resonance imaging showed bilateral normal nervi abducens. One brother of the patient had bilateral nanophthalmos without ocular motility disorder. There is no report of nanophthalmos associated with globe retraction in the literature. Globe retraction on adduction is a typical component of Duane Syndrome Type I, which has not been reported in association with nanophthalmos. We suggest that the phenomenon of globe retraction in this case may be related to mechanical factors rather than innervational abnormalities.