<p>This article describes a 9-year-old girl with clinical and laboratory features of Kawasaki disease. On day 7 of her febrile illness, she developed sudden loss of vision in the right eye. Visual acuity was no light perception. Dilated funduscopy showed diffuse intense retinal whitening, narrowing retinal arterioles, and a pale swollen disk—but no cherry-red spot. These findings suggested ophthalmic artery obstruction. Kawasaki disease can be sight-threatening.</p>
<p><cite>J Pediatr Ophthalmol Strabismus</cite> 2007;44:303-304.</p>
<h4>AUTHORS</h4>
<p>Drs. Farvardin and Sajjadi are from the Department of Ophthalmology and Drs. Kashef, Aleyasin, Nabavizadeh, and Safari are from the Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran.</p>
<p>Originally submitted May 7, 2005.</p>
<p>Accepted for publication September 1, 2005.</p>
<p>Address correspondence to Majid Farvardin, MD, Department of Ophthalmology, Khalili Hospital, Shiraz, Iran.</p>
Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is a rare syndrome which is characterized by a set of ocular motility abnormalities, especially a large-angle exotropia in primary gaze. One of the management strategies suggested for it is extraocular muscle surgery, particularly transposition surgery. In this 38-year-old male WEBINO patient, we concluded that transposition surgery could effectively alleviate the exodeviation and also the patient's complaints in comparison with resection-recession procedures.
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