Vlăduţiu C
Clinica Oftalmologică Cluj-Napoca.
Oftalmologia. 1997;41(2):30-2.
Congenital palpebral ptosis is a disease which make problems about surgery timing and surgical method used. A child, three years old, presents partial palpebral ptosis at left eye after congenital paresis of the oculomotor common nerve. Ocular statistical exam underlines one deviation by ten degrees and dorsal vergence by fifteen degrees at left eye. After covering the right eye, the left eye assumes fixation and the upper eyelid elevates. On practise liberality of the right superior muscle at the right eye (Faden method and recoil by 5 mm), which establishes the disparition of the left eye deviation and of the ptosis. Orthoptic exam must direct the decision about the surgical method in these situations.
先天性上睑下垂是一种在手术时机和手术方法选择上存在问题的疾病。一名三岁儿童，因动眼总神经先天性麻痹，左眼出现部分上睑下垂。眼科统计检查显示左眼有10度的斜视和15度的上斜。遮盖右眼后，左眼固视，上睑抬起。对右眼实施右上直肌松解术（缝线法，后退5毫米），之后左眼斜视和上睑下垂消失。在这些情况下，视轴矫正检查必须指导手术方法的决策。
