DOI: 10.36347/sjmcr.2023.v11i06.018

Pages: 1114-1115

Congenital ocular motor apraxia (COMA), also known as infantile-onset saccade initiation delay (ISID), is characterized by the inability to initiate volitional horizontal saccades. This five-month-old girl showed constant rapid movements to right or left one week after birth. After four months, she began thrusting her head from left to right when following target objects. She was diagnosed with COMA/ISID. At 4 years of age, head thrust became less evident. She first uttered meaningful words at 5 years of age, and spoke in sentences by 6 years of age. At 6 years of age, visual acuity was 1.0 in both eyes at 1 m. Head thrust disappeared at almost 6 years of age. She could not start crawling and sustaining a sitting position due to hypotonia. Clinicians should be aware of visual development in COMA/ISID and should look for them during the assessment of these children.