Anesthetic Management of an Adult Patient with Moebius Syndrome for Strabismus Surgery: A Case Report

Moebius syndrome is a rare non progressive congenital neurologic disorder mostly involving cranial nerve dysfunction and craniofacial, limb, musculoskeletal and ophthalmic deformities that vary in presentation and severity. These pose several challenges to the anesthesiologist especially in terms of airway management. Currently, there is limited literature discussing the anesthetic management and considerations of adult patients with the syndrome for surgery. This paper presents a case of a 33 year old female presenting with congenital medial deviation of the eyes, features of Moebius syndrome and bronchial asthma who underwent strabismus surgery under general anesthesia. Due to anticipated difficult airway, preoperative interventions such as prophylaxis for airway hypersensitivity and preparation in line with a difficult airway algorithm were done. Airway management during induction of general anesthesia and the intraoperative course were unremarkable. The patient was able to tolerate the procedure well.