FP1840 : Congenital facial nerve palsy in a case of noonan syndrome – A rare association

Dr.V. THENDRAL, V21302

Noonan syndrome is a genetic condition inherited in an autosomal dominant manner. We are presenting a case of 7 year old male child who has bought by his father with chief complaints of inability to close his left eye since birth . On general examination child was short statured , webbing of neck was present , pectus excavatum was present , facial asymmetry was present deviation of angle of mouth to right side was noted . On ocular examination RE lid closure was adequate , visual acuity was 6/6 with anterior segment and fundus examination being normal . On examination of LE 2mm lagophthalmos was noted . visual acuity was 6/6 , examination of anterior segment showed inferior corneal opacity . Fundus examination was normal .Left eye lateral tarsorraphy was done for the child and post operatively lid closure was adequate . we are presenting this case of noonan syndrome for its rare association with congenital facial palsy.