Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan 48105, USA.
Ophthalmic Plast Reconstr Surg. 2012 Mar-Apr;28(2):e36-9. doi: 10.1097/IOP.0b013e3182191be3.
The purpose of this case report is to describe reversible systemic symptoms associated with ocular torticollis due to blepharoptosis. A retrospective chart review identified patients with symptomatic ocular torticollis due to bilateral congenital or acquired blepharoptosis who underwent surgical correction (levator resection or frontalis sling). Preoperative and postoperative assessment of systemic symptoms in adults and developmental milestones are reported. The authors present 4 cases, 1 adult and 3 young children, all with severe bilateral upper eyelid ptosis. In the adult patient, it caused debilitating back pain that required orthopedic evaluation but was completely relieved with ptosis repair surgery. In the toddlers, subjective developmental motor delay was rapidly reversed following ptosis repair surgery. The authors suggest that primary care physicians, and spine and neuromuscular specialists, consider the possibility of ocular torticollis due to eyelid ptosis in the evaluation of patients with unexplained back and/or neck pain or with gross motor developmental delay. The authors propose that symptomatic ocular torticollis is an indication for ptosis repair.
本病例报告的目的是描述由于眼睑下垂导致的眼性斜颈伴发的可逆转全身症状。通过回顾性病历分析，我们确定了因双侧先天性或获得性上睑下垂而出现症状性眼性斜颈并接受手术矫正（提上睑肌切除术或额肌悬吊术）的患者。报告了成人和发育里程碑的术前和术后全身症状评估结果。作者介绍了 4 例病例，1 例为成人，3 例为幼儿，均有严重的双侧上睑下垂。在成年患者中，该病导致严重的背痛，需要矫形评估，但上睑下垂修复手术后完全缓解。在幼儿中，上睑下垂修复手术后，主观发育性运动迟缓迅速逆转。作者建议，初级保健医生以及脊柱和神经肌肉专家，在评估不明原因的背痛和/或颈痛或粗大运动发育迟缓的患者时，应考虑因眼睑下垂导致眼性斜颈的可能性。作者提出，有症状性眼性斜颈是行上睑下垂修复术的指征。
