Nishioka Toshihiko, Shirakawa Yuji, Okada Yuka, Saika Shizuya, Asamura Shinichi
Department of Plastic and Reconstructive Surgery, Graduate School of Wakayama Medical University, Wakayama City, Wakayama, Japan.
Department of Ophthalmology, Graduate School of Wakayama Medical University, Wakayama City, Wakayama, Japan.
Taiwan J Ophthalmol. 2020 Apr 21;10(2):131-133. doi: 10.4103/tjo.tjo_8_20. eCollection 2020 Apr-Jun.
The patient was a 49-year-old woman. She had worked at a child welfare facility where she sustained a wound to the left side of her upper eyelid after it was scratched by a child facility resident's finger. One month had passed since the injury when she visited our hospital. The initial treatment was not appropriate, and her left eyelid could not be lifted at all. A secondary surgery was performed 2 months after the injury when the scar contracture was most strong. Such corrective surgery for posttraumatic eyelid is typically scheduled after at least 6 months when the scar tissue softens from the viewpoint of wound healing. However, this case indicated the importance of determining the appropriate timing of surgery in consideration of the patient's background and the scientific basis. Reports of sharp traumatic ptosis are rare, and this is the first reported case of traumatic ptosis resulting from a scratch caused by human hand.
患者为一名49岁女性。她曾在一家儿童福利机构工作，期间被一名儿童福利院住客的手指划伤左上眼睑，导致受伤。受伤后一个月她前来我院就诊。最初的治疗并不恰当，她的左眼睑完全无法抬起。受伤两个月后，瘢痕挛缩最为严重时进行了二次手术。从伤口愈合的角度来看，这种创伤后眼睑的矫正手术通常至少要在6个月后瘢痕组织软化时进行。然而，该病例表明，考虑到患者的背景和科学依据来确定合适的手术时机非常重要。锐器创伤性上睑下垂的报道很少见，这是首例因人类手部抓伤导致创伤性上睑下垂的病例报告。
