Adegbehingbe B O, Olabanji J K, Adeoye A O
Ophthalmology Unit, Department of Surgery, Obafemi Awolowo University, Ile-lfe, Osun State, Nigeria.
Niger J Med. 2005 Apr-Jun;14(2):224-6. doi: 10.4314/njm.v14i2.37186.
Congenital upper lid colobomas may be associated with ocular and systemic anomalies. This paper reports an isolated bilateral upper lid coloboma.
A report of a case of bilateral upper lid coloboma with discussion of relevant literature.
A 5-month old healthy baby girl presented with isolated bilateral upper lid coloboma. The coloboma was as large as two thirds of each upper lid with symblepharon. She had no other associated congenital anomalies reported by various workers. The upper lid defect in each eye was repaired in two stages. She had a flap from the lower lid using the lid switch technique and flap separation 2 weeks after the first surgery, in a combined surgery by a plastic surgeon and ophthalmologists. A good functional and cosmetic result was achieved from the treatment. The patient was discharged five days after the second surgery.
This case shows that lid coloboma could be an isolated problem in a child. Early and appropriate surgical intervention is necessary for good visual and functional outcome.
先天性上睑缺损可能与眼部及全身异常有关。本文报告一例孤立性双侧上睑缺损。
报告一例双侧上睑缺损病例并讨论相关文献。
一名5个月大的健康女婴出现孤立性双侧上睑缺损。缺损大小达每侧上睑的三分之二，并伴有睑球粘连。其他工作人员报告她无其他相关先天性异常。每只眼睛的上睑缺损分两期修复。在整形外科医生和眼科医生联合进行的手术中，首次手术后2周采用睑板开关技术取自下睑的皮瓣并进行皮瓣分离。治疗取得了良好的功能和美容效果。患者在第二次手术后五天出院。
该病例表明上睑缺损在儿童中可能是一个孤立问题。早期且恰当的手术干预对于良好的视觉和功能预后很有必要。
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