<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2604-1227</journal-id>
<journal-title><![CDATA[Revista mexicana de oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. oftalmol]]></abbrev-journal-title>
<issn>2604-1227</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oftalmología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2604-12272020000300143</article-id>
<article-id pub-id-type="doi">10.24875/rmo.m19000072</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nistagmus monocular como signo de presentación de síndrome de Bardet-Biedl: diagnóstico y tratamiento]]></article-title>
<article-title xml:lang="en"><![CDATA[Monocular nystagmus as the presenting sign of Bardet-Biedl syndrome: diagnosis and treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibáñez-García]]></surname>
<given-names><![CDATA[Ainsa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gismero-Moreno]]></surname>
<given-names><![CDATA[Saturnino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Escobar]]></surname>
<given-names><![CDATA[Ana B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Costa del Sol  ]]></institution>
<addr-line><![CDATA[Marbella Málaga]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>94</volume>
<numero>3</numero>
<fpage>143</fpage>
<lpage>147</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272020000300143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272020000300143&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272020000300143&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de Bardet-Biedl (SBB) es una rara ciliopatía con herencia autosómica recesiva que se caracteriza por la presencia de distrofia retiniana, obesidad, polidactilia postaxial, disfunción renal, déficit cognitivo e hipogonadismo. Otras manifestaciones oftalmológicas del SBB incluyen nistagmus, alto astigmatismo, estrabismo, glaucoma y cataratas. Presentamos el caso de una paciente de 17 años de edad con nistagmus monocular adquirido causante de una oscilopsia incapacitante tratada con clonazepam y memantina sin éxito y derivada a nuestro servicio por una rápida pérdida de agudeza visual. Una exhaustiva anamnesis y exploración dieron lugar al diagnóstico del SBB, y el nistagmus fue tratado exitosamente con toxina botulínica seguida de amplias recesiones de los músculos rectos horizontales con la completa desaparición de la oscilopsia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Bardet&#8211;Biedl syndrome (BBS) is a rare autosomal recessive ciliopathy characterized by retinal dystrophy, obesity, postaxial polydactyly, renal dysfunction, learning difficulties and hypogonadism. Other ocular manifestations of BBS include nystagmus, high astigmatism, strabismus, glaucoma and cataracts. We report the case of a 17-year-old female with acquired monocular nystagmus and oscillopsia with distressing ocular discomfort. She was unsuccessfully treated with clonazepam and memantine, and experienced a pronounced and rapid visual loss, which resulted in referral to our department. After a comprehensive anamnesis and examination, BBS was diagnosed. Nystagmus was successfully treated with botulinum toxin, followed by large recessions of all four horizontal recti that resulted in complete resolution of oscillopsia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Nistagmus monocular]]></kwd>
<kwd lng="es"><![CDATA[Síndrome Bardet-Biedl]]></kwd>
<kwd lng="es"><![CDATA[Retinitis pigmentosa atípica]]></kwd>
<kwd lng="es"><![CDATA[Distrofia de conos y bastones]]></kwd>
<kwd lng="es"><![CDATA[Toxina botulínica y nistagmus]]></kwd>
<kwd lng="es"><![CDATA[Cirugía nistagmus. Oscilopsia]]></kwd>
<kwd lng="en"><![CDATA[Monocular nistagmus]]></kwd>
<kwd lng="en"><![CDATA[Bardet-Biedl syndrome]]></kwd>
<kwd lng="en"><![CDATA[Atypical retinitis pigmentosa]]></kwd>
<kwd lng="en"><![CDATA[Cone-rod distrophy]]></kwd>
<kwd lng="en"><![CDATA[Botulinum toxin for nystagmus]]></kwd>
<kwd lng="en"><![CDATA[Nystagmus surgery]]></kwd>
<kwd lng="en"><![CDATA[Oscillopsia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kanski]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oftalmología Clínica]]></article-title>
<source><![CDATA[Elsevier]]></source>
<year>2007</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Devogelaere]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Gobin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Casaer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Spileers]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Repeated bilateral retrobulbar injection of botulinum toxin in a blind patient with retinitis pigmentosa and incapacitating nystagmus]]></article-title>
<source><![CDATA[Binocul Vis Strabismus Q]]></source>
<year>2006</year>
<volume>21</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>235-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stahl]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Plant]]></surname>
<given-names><![CDATA[GT]]></given-names>
</name>
<name>
<surname><![CDATA[Leigh]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical treatment of nystagmus and its visual consequences]]></article-title>
<source><![CDATA[J R Soc Med]]></source>
<year>2002</year>
<volume>95</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>235-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thurtell]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Leigh]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of nystagmus]]></article-title>
<source><![CDATA[Binocul Vis Strabismus Q]]></source>
<year>2006</year>
<volume>21</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>235-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huban]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Necile]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Yusuf]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical treatment of nystagmus]]></article-title>
<source><![CDATA[Eye]]></source>
<year>1999</year>
<volume>13</volume>
<page-range>11-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gunnar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Odd Asmund]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Suna]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Brigitte]]></surname>
<given-names><![CDATA[ED]]></given-names>
</name>
<name>
<surname><![CDATA[Talal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of strabismus and nystagmus with botulinum toxin type A]]></article-title>
<source><![CDATA[Acta Ophtthalmol Scand]]></source>
<year>1998</year>
<volume>76</volume>
<page-range>27-37</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[LJO]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vinhaes]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pigmentary retinopathy due to Bardet-Biedl syndrome:case report and literature review]]></article-title>
<source><![CDATA[Arq Bras Oftalmol]]></source>
<year>2009</year>
<volume>72</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>694-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chizzolini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Galan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Milan]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sebastiani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Costagliola]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Parmeggiani]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Good epidemiologic practice in Retinitis Pigmentosa]]></article-title>
<source><![CDATA[Current Genomics]]></source>
<year>2011</year>
<volume>12</volume>
<page-range>260-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Reigadas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Di Pierdomenico]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Retinosis pigmentaria Terapia celular]]></article-title>
<source><![CDATA[TheaInfo]]></source>
<year>2017</year>
<volume>78</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-22</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beales]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Encioglu]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Woolf]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Parker]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Flinter]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[New criteria for improved diagnosis of Bardet-Biedl syndrome:results of a population survey]]></article-title>
<source><![CDATA[Med Genet]]></source>
<year>1999</year>
<volume>36</volume>
<page-range>437-46</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Menon]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Thaller]]></surname>
<given-names><![CDATA[VT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Therapeutic external ophtalmoplegia with bilateral retrobulbar botulinum toxin-an effective treatment for acquired nystagmus with oscillopsia]]></article-title>
<source><![CDATA[Eye]]></source>
<year>2002</year>
<volume>16</volume>
<page-range>804-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tomsak]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Remler]]></surname>
<given-names><![CDATA[BF]]></given-names>
</name>
<name>
<surname><![CDATA[Averbuch-Heller]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chandran]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Leigh]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Unsatisfactory treatment of acquired nystagmus with retrobulbar injection of botulinum toxin]]></article-title>
<source><![CDATA[Am J Ophthalmol]]></source>
<year>1995</year>
<volume>119</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>489-96</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Repka]]></surname>
<given-names><![CDATA[MX]]></given-names>
</name>
<name>
<surname><![CDATA[Savino]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Reinecke]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of acquired nystagmus with botulinum neurotoxin A]]></article-title>
<source><![CDATA[Arch Opthalmol]]></source>
<year>1994</year>
<volume>112</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1320-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
