Jayakumar Manjula, Kumar Dhivya Ashok, Agarwal Amar
Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
J AAPOS. 2018 Apr;22(2):161-163. doi: 10.1016/j.jaapos.2017.10.014. Epub 2018 Feb 3.
We report the case of a 21-year-old woman who presented with a drooping right upper eyelid and smaller-appearing right eye, evident since birth. Her visual acuity was 20/30 in the right eye and 20/20 in the left eye. In primary gaze she had a hypotropia of 25, with a marked elevation limitation and associated true upper lid ptosis of 3 mm. Under local anesthesia, the lateral rectus muscle was transposed to the superior rectus muscle and was augmented by a nonabsorbable suture attaching the superior rectus muscle and lateral rectus muscle 8 mm posterior to the insertion, accompanied by an inferior rectus recession. One year after surgery she was orthophoric in primary position and showed improvement in elevation. The surgical procedure can be performed at the same time as the inferior rectus recession and reduces the risk of anterior segment ischemia.
我们报告了一例21岁女性病例，自出生以来，其右眼上睑下垂，右眼外观较小。她的右眼视力为20/30，左眼视力为20/20。在第一眼位时，她有25△的下斜视，伴有明显的上转受限以及3mm的真性上睑下垂。在局部麻醉下，将外直肌移位至上直肌，并通过不可吸收缝线在上直肌和外直肌插入点后方8mm处进行缝合加强，同时进行下直肌后徙术。术后一年，她在第一眼位时眼位正位，上转功能改善。该手术可与下直肌后徙术同时进行，降低眼前节缺血的风险。
