莫比乌斯综合征：眼睑功能障碍的外科治疗
Möbius syndrome: surgical treatment for eyelid dysfunction.
作者信息
Lopez-Valverde Gloria, Jarrin-Hernandez Elena, Cruz-Gonzalez Fernando, Mateos-Sanchez Encarnacion
机构信息
Servicio de Oftalmología, Sección de Oculoplástica y Dacriología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
出版信息
Case Rep Ophthalmol. 2013 Nov 5;4(3):229-33. doi: 10.1159/000356528. eCollection 2013.
INTRODUCTION
Möbius syndrome is a heterogeneous congenital disorder that is linked to bilateral palsies of the cranial nerves VI and VII, resulting in congenital facial paralysis sometimes associated with impaired ocular abduction.
CASE REPORT
We present the case of a 44-year-old woman with Möbius syndrome and inferior recurrent keratitis secondary to scleral show in both eyes. We decided to use a cartilage graft from the ear in the inferior eyelid to avoid eyelid retraction and scleral show.
DISCUSSION
Patients with Möbius syndrome have a severe dysfunction of their facial mimic. Their treatment must be individualized, depending on their age, clinical examination and symptoms.
引言
莫比乌斯综合征是一种异质性先天性疾病，与双侧第六和第七颅神经麻痹有关，导致先天性面瘫，有时伴有眼球外展障碍。
病例报告
我们报告一例44岁患有莫比乌斯综合征的女性患者，双眼因巩膜暴露继发下角膜反复发炎。我们决定在下眼睑使用耳部软骨移植来避免眼睑退缩和巩膜暴露。
讨论
莫比乌斯综合征患者面部表情严重功能障碍。其治疗必须个体化，取决于患者年龄、临床检查及症状。
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