Karhanová M, Hobzová M, Maresová K
Ocní Klinika LF UP a FN, Olomouc.
Cesk Slov Oftalmol. 2012 Feb;68(1):22-6, 28.
Floppy eyelid syndrome (FES) is a relatively rare condition of unknown aetiology, commonly described in association with other systemic conditions, particularly with obstructive sleep apnoea--OSA (the most frequent and most significant sleep-related breathing disorder in terms of morbidity and mortality). It is characterized by an extremely enlarged and floppy upper eyelid which can be very easily everted (often spontaneously during sleep). The laterality of the disease corresponds to the side the patient sleeps on. The patient may also present with upper lid ptosis, lash ptosis or trichiasis, lower lid ectropion, chronic papillary conjunctivitis, and chronic corneal disorders. The aim of this study is to report this syndrome, which is often overlooked in eye clinics, and to summarize our experience with its diagnosis and treatment. The correct and early diagnosis of FES may be a clue to the correct diagnosis of, at the time of FES diagnosis, unknown OSA.
松弛性眼睑综合征(FES)是一种病因不明的相对罕见病症,通常与其他全身性疾病相关,尤其是阻塞性睡眠呼吸暂停(OSA,就发病率和死亡率而言,是最常见且最重要的与睡眠相关的呼吸障碍)。其特征为上睑极度肿大且松弛,极易翻转(常在睡眠期间自发翻转)。疾病的患侧与患者睡眠时所躺的一侧相对应。患者还可能出现上睑下垂、睫毛下垂或倒睫、下睑外翻、慢性乳头性结膜炎以及慢性角膜疾病。本研究的目的是报告这种在眼科诊所常被忽视的综合征,并总结我们在其诊断和治疗方面的经验。FES的正确早期诊断可能是在FES诊断时对未知OSA进行正确诊断的线索。