Exotropic Moebius syndrome
Reviewed by Fiona Rowe

Three patients are described with pattern C Moebius syndrome and report the technique and outcomes of surgery for two patients. The three cases included a three and a 13-year-old requiring surgery and a 10-year-old. All patients had absent horizontal gaze but intact vertical gaze. Surgery involved bilateral lateral rectus muscle disinsertion followed by bilateral medial rectus muscle resection. All lacrimal puncta were cauterised or occluded, and lateral and medial tarsorrhaphy were performed to control dry eye and gain a smooth lacrimal lake. 

Three cases of exotropic Moebius syndrome.
Bagheri A, Feizi M.
JOURNAL OF PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2017;54(1):e9-12.