Tristante G, Cordonnier M, Louryan S, Aguilera C, Unger J
Service d'Ophtalmologie, Hôpital Erasme, Cliniques Universitaires de Bruxelles.
Bull Soc Belge Ophtalmol. 1992;243:11-6.
A 60-year-old woman presents with bilateral ptosis and tearing, predominant on the right and existing since many years. Upper tarsus is much enlarged on the right; lacrymal glands are palpable under the upper lid and seem enlarged as well. CT scan and RMN confirms the hypertrophy of subcutaneous lid tissues, lacrymal glands and ocular muscles. The patient is aware of a progressive change in her physical aspect since years. Medical work-up diagnoses major acromegaly. Discussion about the consequences of acromegaly upon the ocular adnexa.
一名60岁女性出现双侧上睑下垂和流泪症状,右侧更为明显,且已持续多年。右侧上睑板明显增大;在上睑皮下可触及泪腺,似乎也有肿大。CT扫描和磁共振成像证实了眼睑皮下组织、泪腺和眼肌肥大。患者意识到自己的外貌多年来有渐进性变化。医学检查诊断为重度肢端肥大症。讨论肢端肥大症对眼附属器的影响。