Binder Anastasia Verena, Chaloupka Karla
Augenklinik, UniversitätsSpital Zürich, Schweiz.
Klin Monbl Augenheilkd. 2020 Apr;237(4):534-536. doi: 10.1055/a-1101-9257. Epub 2020 Apr 24.
Globe luxation due to incarceration of the eyelids behind the globe can occur in patients with proptosis and lax eyelids. It is important to identify this rare event to prevent recurrent episodes with possible serious complications, such as optic neuropathy.
We present two patients (aged 54 and 83, both male) with recurrent painful globe luxation due to lid incarceration. In the 54-year-old patient, the symptoms occurred in association with exophthalmos in longstanding Graves' disease. The 83-year-old patient presented with physiological protrusion due to adipositas and floppy eyelid syndrome as underlying cause.
In both cases, a lateral tarsorrhaphy was performed and further globe luxations with incarcerations of the eyelids and its sequels could be prevented.
Globe luxations due to intermittent incarcerations of the eyelids are rare and diagnosis is often missed. It can also be associated with serious sequels and must be recognized and treated early.
眼球后眼睑嵌顿导致的眼球脱位可发生于眼球突出且眼睑松弛的患者。识别这一罕见情况对于预防可能伴有严重并发症（如视神经病变）的复发至关重要。
我们报告了两名因眼睑嵌顿导致复发性疼痛性眼球脱位的患者（分别为54岁和83岁男性）。在54岁患者中，症状与长期格雷夫斯病所致的眼球突出有关。83岁患者因肥胖和眼睑松弛综合征导致生理性眼球突出，以此为潜在病因。
在这两例病例中，均进行了外侧睑裂缝合术，从而预防了眼睑嵌顿导致的进一步眼球脱位及其后遗症。
因眼睑间歇性嵌顿导致的眼球脱位较为罕见，诊断常常被漏诊。它还可能伴有严重后遗症，必须尽早识别并治疗。
