Department of Plastic Surgery, Rio de Janeiro Catholic University, Rio de Janeiro, Brazil.
Ophthalmic Plast Reconstr Surg. 2011 Jul-Aug;27(4):282-6. doi: 10.1097/IOP.0b013e318201d627.
Cryptophthalmos was first described in 1872 as a rare syndrome consisting of congenital upper eyelid and eyebrow coloboma and a rudimentary ocular bulb. Later, Fraser described it as being part of a complex syndrome with multiple anomalies. Many cases have been described since then, but very few surgical techniques have been proposed for its correction. In this paper, the authors present a surgical procedure for correction of the upper eyelid and ocular bulb anomalies in cryptophthalmos.
Five patients with Fraser syndrome were seen from 1993 to 2008. They were in the age group of 18 months to 24 years. Of these, 4 patients underwent reconstruction of the upper eyelid.
The large upper eyelid coloboma and the cutaneous pterygium were treated with a 2-stage procedure, with good results obtained with the adoption of Mustardé's technique.
The complexity of the surgical treatment increases when there is no possibility of rudimentary eye bulb preservation. In upper eyelid reconstruction, the authors adopted Mustardé's technique with fixation of the lower eyelid transposed flap to the levator muscle, leading this way to relatively good upper eyelid motility. The authors consider imperative that the upper fornix be reconstructed with adequate depth to allow perfect positioning of an aesthetic prosthesis, in this way improving the final aesthetic and functional results.
cryptophthalmos 于 1872 年首次被描述为一种罕见的综合征，其特征为先天性上眼睑和眉毛缺损以及眼球发育不全。后来，Fraser 将其描述为一种具有多种异常的复杂综合征的一部分。此后，已经描述了许多病例，但很少有提出用于其矫正的手术技术。本文作者介绍了一种矫正 cryptophthalmos 中眼睑和眼球异常的手术方法。
1993 年至 2008 年，作者共诊治了 5 例 Fraser 综合征患者，年龄在 18 个月至 24 岁之间。其中 4 例患者行上睑重建术。
大的上睑缺损和皮翼状胬肉采用两期手术治疗，采用 Mustardé 技术取得了良好的效果。
当没有保存原始眼球的可能性时，手术治疗的复杂性会增加。在上睑重建中，作者采用了 Mustardé 技术，将下睑移位皮瓣固定在提上睑肌上，从而获得相对较好的上睑运动能力。作者认为，必须用足够的深度重建上穹窿，以允许完美地定位美容假体，从而改善最终的美学和功能结果。
