1Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Maxillofacial and Oral Surgery, Osijek University Hospital Centre, Osijek, Croatia; 3Department of Ophthalmology, Osijek University Hospital Centre, Osijek, Croatia.
Acta Clin Croat. 2020 Jun;59(2):377-381. doi: 10.20471/acc.2020.59.02.25.
Blepharospasm is an idiopathic condition characterized by involuntary eyelid closure mainly caused by bilateral tonic-clonic contractions of the orbicularis oculi muscle. It results in patient inability to open their eyes, thus significantly impairing their ability to perform activities of daily living. First-line treatment for blepharospasm are primarily botulinum toxin type A injections. However, surgical procedure as a treatment option can also be taken in consideration. In this overview, we present a case of a 75-year-old female patient who received surgical treatment as Anderson's method after being treated with botulinum toxin type A for 3 years. This form of therapy proved to be an extremely successful permanent solution in the treatment of severe cases of refractory blepharospasm, without any long-term complications, especially ectropion and lagophthalmos.
眼睑痉挛是一种特发性疾病，其特征为主要由眼轮匝肌的双侧强直性-阵挛性收缩引起的不自主眼睑闭合。它导致患者无法睁开眼睛，从而严重影响其日常生活活动能力。眼睑痉挛的一线治疗方法主要是肉毒毒素 A 注射。然而，手术作为一种治疗选择也可以考虑。在本篇综述中，我们介绍了一位 75 岁女性患者的病例，她在接受肉毒毒素 A 治疗 3 年后，采用安德森手术方法进行了手术治疗。这种形式的治疗被证明是治疗严重难治性眼睑痉挛的一种非常成功的永久性解决方案，没有任何长期并发症，特别是外翻和兔眼。
