Ophthalmic manifestations of Gilles de la Tourette syndrome.
OBJECTIVE
To present the ophthalmic manifestations of patients with Gilles de la Tourette syndrome (GTS).


METHODS
Sixteen children (average age 11.5 years), with multiple motor and vocal tics, with a diagnosis of GTS, were included in this study. All underwent a full ophthalmological examination.


RESULTS
All patients except one amblyopic case had best corrected visual acuity of 20/20 in both eyes. Eleven patients (68%) had eye tics; nine had clonic blepharospasm and two had involuntary gaze deviations. Four cooperative children underwent visual field examination with Goldmann perimeter, no visual field defect was detected. Three patients had strabismus (one alternating exotropia and two partially accommodative esotropia). Anterior and posterior segment examinations were within normal limits. The symptoms improved considerably in 82% of the patients with eye tics on treatment with a neuroleptic (pimozide).


CONCLUSIONS
Blepharospasm was the most common ophthalmic manifestation of GTS. Ophthalmologists should consider a diagnosis of GTS in the absence of any organic eye pathology that may cause blepharospasm and refer these cases to a child psychiatrist. These children benefit from a treatment with neuroleptics under the supervision of a psychiatrist.
Tatlipinar
S
S
Department of Ophthalmology, Hacettepe University School of Medicine, Ankara, Turkey.
Iener
E C
EC
Ilhan
B
B
Semerci
B
B
D000293:Adolescent; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001764:Blepharospasm / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010868:Pimozide / Q000627:therapeutic use; D020323:Tics / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005879:Tourette Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014792:Visual Acuity; D058609:Visual Field Tests; D014794:Visual Fields
D014150:Antipsychotic Agents; D010868:Pimozide