Flaum Eye Institute, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA.
Ophthalmic Plast Reconstr Surg. 2011 Jul-Aug;27(4):e97-8. doi: 10.1097/IOP.0b013e3181f29c86.
A middle-aged woman with a diagnosis of linear scleroderma and systemic sclerosis presented with an atrophic skin lesion of the forehead extending in the right orbit and progressive diplopia in the right gaze. On exam, she had enophthalmos with a small, manifest esotropia in the right gaze. Orbital MRI revealed fat atrophy of the right upper eyelid and orbit not previously described. Inflammation and progressive collagen fibrosis involving subcutaneous tissue, fat, and muscle secondary to linear scleroderma may result in enophthalmos and diplopia.
一位中年女性，被诊断为线状硬皮病和系统性硬皮病，出现额部萎缩性皮肤病变，延伸至右侧眼眶，并伴有右侧凝视时进行性复视。检查时，她在右侧凝视时出现眼球内陷和小的显斜视。眼眶 MRI 显示右侧上眼睑和眼眶脂肪萎缩，这是以前未描述过的。由于线状硬皮病引起的炎症和进行性胶原纤维增生，累及皮下组织、脂肪和肌肉，可能导致眼球内陷和复视。
