A deceptive wink/Marin–s;Amat syndrome, a clever lookalike of inverse marcus gunn syndrome

Abstract

Marin–Amat syndrome is a rare acquired form of facial synkinesis seen after facial nerve paralysis. There is involuntary closure of the eye on the opening of the jaw and is associated with the orbicularis oculi muscle (OOM). This syndrome may be confused with inverse Marcus Gunn syndrome, a congenital condition involving levator palpebrae superioris, requiring a different management approach. Some treatment options are botulinum toxin injections and preseptal OOM resection. We report one such rare case of Marin–Amat syndrome. Careful examination is paramount in providing appropriate treatment to patients.