Cho Won-Kyung, Park Joo Wan, Park Mi Ra
Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.
Korean J Ophthalmol. 2011 Apr;25(2):142-5. doi: 10.3341/kjo.2011.25.2.142. Epub 2011 Mar 14.
We report a case of surgical treatment for Hallermann-Streiff syndrome in a patient with ocular manifestations of esotropia, entropion, and blepharoptosis. A 54-year-old man visited Yeouido St. Mary's Hospital complaining of ocular discomfort due to cilia touching the corneas of both eyes for several years. He had a bird-like face, pinched nose, hypotrichosis of the scalp, mandibular hypoplasia with forward displacement of the temporomandibular joints, a small mouth, and proportional short stature. His ophthalmic features included sparse eyelashes and eyebrows, microphthalmia, nystagmus, lower lid entropion in the right eye, and upper lid entropion with blepharoptosis in both eyes. There was esodeviation of the eyeball of more than 100 prism diopters at near and distance, and there were limitations in ocular movement on lateral gaze. The capsulopalpebral fascia was repaired to treat the right lower lid entropion, but an additional Quickert suture was required to prevent recurrence. Blepharoplasty and levator palpebrae repair were performed for blepharoptosis and dermatochalasis. Three months after lid surgery, the right medial rectus muscle was recessed 7.5 mm, the left medial rectus was recessed 7.25 mm, and the left lateral rectus muscle was resected 8.0 mm.
我们报告了一例针对患有内斜视、睑内翻和上睑下垂等眼部表现的Hallermann-Streiff综合征患者的手术治疗病例。一名54岁男性因双眼睫毛触碰角膜导致眼部不适数年，前来汝矣岛圣玛丽医院就诊。他面容如鸟，鼻梁狭窄，头皮毛发稀少，下颌发育不全且颞下颌关节向前移位，嘴巴小，身材比例矮小。他的眼部特征包括睫毛和眉毛稀疏、小眼症、眼球震颤、右眼睑内翻、双眼上睑睑内翻伴上睑下垂。近距和远距离时眼球内斜超过100棱镜度，向外侧注视时眼球运动受限。为治疗右眼下睑睑内翻，修复了睑板睑筋膜，但为防止复发还需额外进行奎克特缝合。针对上睑下垂和皮肤松弛进行了眼睑成形术和提上睑肌修复术。眼睑手术后三个月，右眼内直肌后徙7.5毫米，左眼内直肌后徙7.25毫米，左眼外直肌切除8.0毫米。
