No abstract

Guillain Barre Syndrome has multi alternative with definite presentations. Isolated VI palsy in early presentation is unique and rare. We document a middle aged women doctor presented with a one-day history of sudden painless acute unilateral diplopia (double vision) of right eye. Along with creepy onset malaise and fatigability at the time of her daily life, fatigability on walking. With 2 weeks ago preceding history of gastrointestinal infection in form of diarrhea. Serum anti-Ganglioside Ab analysis declared negativity for anti-GQ1b IgG Ab and patient responded to immune modulation therapy (IVIG), the purpose of reporting this case is highlight the presentation of isolated diplopia is to put in consideration GBS as a potential etiology and has to be roll out.

We would like to report a rare case of Bardet Biedl Syndrome of a women forty-three years, known case of Retinitis pigmentosa presented for medical report, after ocular and systemic assessment we found she is obese, moon face, and has extra toes of both feet and some other finding which was diagnosed later on Bardet Biedl Syndrome, We documented this rare case for its important in clinical practice for regular systemic follow up and therefore, subsequently requiring management accordingly.

We like to report a rare case of a 1 month-old baby boy patient, born with incomplete right eye closure associated with bilateral cleft palate and lip. Diagnosed with House-Brackmann Grade V right isolated congenital right Facial nerve palsy and exposure keratopathy. Two months later, he slightly improved and consequently requiring further management approach accordingly.

A 30 years married female by occupation nurse presented with left eye irritation. On Examination mild hyperemia and papillary reaction in left lower conjunctiva noted. After 2 days it converted into mild discharge and raised irritation. After taking the swab for culture and sensitivity patient discharged on antibiotics and tears substitutes. Four days later received call from pathology clinic methicillin-resistant Staphylococcus aureus (MRSA) positive from culture and sensitivity report. Emergency measures taken out for example, report the case with Infectious disease, isolation, and other sample collection and systemic to diagnosis early and towards better way of latest treatment. After 10 days of treatment patient was declare clear from MRSA. Swab, a simple test may leads us treatment. Our recommendations directed towards diagnosis, treatment and preventive measure for a nosocomial infection.