Asamura Shinichi, Kakizaki Hirohiko, Enjyo Mitsuhiro, Hashimoto Takahiro, Isogai Noritaka
Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine, Osakasayama, Osaka, Japan.
Clin Ophthalmol. 2012;6:575-7. doi: 10.2147/OPTH.S30612. Epub 2012 Apr 12.
A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments - such as cholinesterase inhibitors and steroids - had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any eye movement disturbances, bilateral frontalis sling procedures were performed with an autologous fascia lata. One year after the operation, the operated upper eyelids showed symmetrically appropriate heights with good functional outcome. A sling procedure with an autologous fascia lata was suitable for correcting poor levator function of an ocular myasthenia gravis case.
一名39岁女性在8岁时被诊断为重症肌无力。尽管已对该患者进行了多种治疗，如胆碱酯酶抑制剂和类固醇，但她的病情并未得到充分改善。由于她双侧提上睑肌功能为3毫米且无任何眼球运动障碍，因此采用自体阔筋膜进行了双侧额肌悬吊术。术后一年，手术的上睑高度对称且合适，功能效果良好。自体阔筋膜悬吊术适用于矫正重症肌无力性眼肌病患者的提上睑肌功能不良。
