Purpose : to report three cases of GBS with ophthalmic features.
Method : descriptive case reports
Case report : A 21 years young man presented with binocular diplopia following unsteady gait for 5
days. Then he developed bilateral variable ptosis with ophthalmoplegia , alteration of voice and nasal
regurgitation of food during swallowing. Raised protein was found in CSF study. Ice pack test was
positive. Miller Fisher Syndrome (MFS) was diagnosed on the basis of clinical features in addition to
CSF study. So, clinically it was a case of MFS with Ocular Myasthenia gravis (OMG).
A 33 years diabetic and hypertensive female, presented with sore throat for a week followed by
binocular diplopia with ophthalmoplegia, bilateral ptosis and impaired speech for 3 weeks. The initial
diagnosis was MFS on the basis of clinical presentation.
A young girl of 10 years old, came to us with sudden severe painful dimness of vision of both eyes. She
was diagnosed as a case of GBS prior to this presentation. Hyperemic disc swelling found in fundus
examination of both eyes. So Guillain- barre syndrome(GBS)with bilateral papillitis was an unique
presentation.
Conclusion: GBS along with its ophthalmic features may present to Neuro-ophthalmologist. So during
neuro ocular work-up it should be kept in mind to confirm a clinical diagnosis.