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Horizontal gaze palsy with progressive scoliosis (HGPPS) is a rare clinical condition characterized by a combination of horizontal gaze palsy, pendular nystagmus and scoliosis. Only a few cases have been previously described in the literature. Our observations serve to document the first cases in Morocco.

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It's reported that sildenafil may cause non-arteritic anterior ischaemic optic neuropathy and transient changes in perception of colour hue or brightness. 1 We report a case of cilioretinal artery and central retinal vein occlusion after sildenafil use.A previously healthy 40-year-old man, presented with acute visual loss of the left eye. He took one tablet of sildenafil (100 mg) for two consecutive days before the onset of symptoms. At examination the visual acuity was 20/40 in the left eye and 20/25 in the right eye. On funduscopy (figure 1A), the left eye showed dilated tortuous veins with flame-shaped haemorrhages, cotton wool spots and retinal whitening in the distribution of the cilioretinal artery. The right eye examination was unremarkable. Fluorescein angiography (figure 1B) revealed a hypoperfusion corresponding to the retinal whitening seen clinically. The retinal Optic Coherence Tomography (OCT) (figure lC) showed a hyper-reflectivity of the inner retinal layers corresponding to the ischaemic area with a cystoid macular oedema.The patient received one intravitreous injection of bevacizumab monthly during 4 months with gradual laser retinal photocoagulation, leading to a complete resorption of the macular oedema with mild improvement of visual acuity and a persistent paracentral scotoma corresponding to the paracentral retinal infarction. REFERENCE 1 Pomeranz HD, Bhavsar AR. Nonarteritic ischemic optic neuropathy developing soon after use of sildenafil (viagra): a report of seven new cases. J Neuroophthalmol 2005;25:9-13.Figure 1 (A) Funduscopy of the left eye showing dilated and tortuous veins (black arrowhead) with cotton wool spots (white arrow head) and retinal haemorrhages due to a central retinal vein occlusion. There is an area of retinal whitening involving the papillomacular bundle and the region superior to the macula (black arrows). (B) Fluorescein angiogram showing an area of vascular non-perfusion corresponding to the area of whitening seen clinically, note the partial reperfusion of the cilioretinal artery. (C) Retinal tomography revealing a hyper-reflectivity of the retinal inner layers (white arrow) corresponding to a retinal infarction with macular cystoid oedema (white arrow heads).

Le ptosis congénital constitue la malposition palpébrale la plus fréquente de l'enfant. Le but de ce travail est de rapporter l'expérience de notre service dans la prise en charge de cette affection. Cette étude analyse les données épidémiologiques, cliniques et thérapeutiques des patients opérés pour ptosis congénital dans notre service entre Janvier 2005 et Décembre 2012. 44 patients (48 yeux) ont été opérés. La médiane d'âge était de 10 ans et une prédominance masculine a été retrouvée. Le ptosis était unilatéral et isolé dans 40 cas (90,90 %), bilatéral et associé à un syndrome de blépharophimosis dans 3 cas et à un syndrome de fibrose congénitale des muscles oculomoteurs dans un cas. Une amblyopie a été notée dans 11 cas (25%). La résection du muscle releveur de la paupière supérieure était la technique chirurgicale la plus utilisée (81,81%). Les résultats postopératoires étaient bons dans 33 cas (75%).