ACUTE Center for Eating Disorders, Denver Health Medical Center, Denver, CO, USA.
Int J Eat Disord. 2012 Jul;45(5):719-21. doi: 10.1002/eat.20970. Epub 2012 Mar 12.
We describe the diagnosis and management of lagophthalmos, or failure of eyelid closure, in five patients with severe anorexia nervosa (AN) who complained of dry, irritated eyes and photophobia.
Five patients with these findings are described retrospectively.
Examination revealed lagopthalmos in the setting of ptosis and enophthalmos, with multiple other starvation-mediated medical complications.
These eye findings, as complications of AN, have not been described in the literature. With careful protective measures, initiation of nutritional rehabilitation, and intensively monitored early refeeding, these patients' ocular abnormalities and associated symptoms resolved completely. Recognition of this pathology and appropriate management can prevent long-term morbidity in the form of permanent loss of visual acuity due to corneal abrasions and improve the outcomes for these patients with severe AN.
我们描述了五例严重神经性厌食症（AN）患者的睑裂闭合不全（即眼睑闭合失败）的诊断和治疗，这些患者主诉眼睛干燥、刺激和畏光。
我们对这些具有这些表现的五例患者进行回顾性描述。
检查显示，在存在上睑下垂和眼球内陷的情况下出现了睑裂闭合不全，还有多种其他由饥饿引起的医学并发症。
这些眼部表现是 AN 的并发症，在文献中尚未描述。通过仔细的保护措施、开始营养康复以及密切监测早期重新喂养，这些患者的眼部异常和相关症状完全缓解。认识到这种病理并进行适当的治疗可以预防因角膜擦伤导致的永久性视力丧失等长期并发症，并改善这些严重 AN 患者的预后。
