Laloux P, Mourain S, Buysschaert M
Cliniques Universitaires de Mont-Godinne.
Acta Neurol Belg. 1987 Nov-Dec;87(5):273-80.
The authors report one case of Graves' ophthalmopathy with a palpebral asymmetry, which was characterized by a left ptosis and a right palpebral retraction. In connection with Graves' disease, many ocular signs were described, including exophthalmos, ophthalmoplegia, palpebral retraction and visual loss, but unilateral ptosis was rarely reported. The orbital CT-scanning demonstrated the bilateral enlargement of the extraocular muscles, due to the infiltrative process met in Graves' disease. The ptosis and the palpebral retraction were suspected to be related to the extension of this infiltrative process in the levator palpebrae.
作者报告了1例伴有睑裂不对称的格雷夫斯眼病,其特征为左侧上睑下垂和右侧睑裂退缩。关于格雷夫斯病,已描述了许多眼部体征,包括眼球突出、眼肌麻痹、睑裂退缩和视力丧失,但单侧上睑下垂鲜有报道。眼眶CT扫描显示双侧眼外肌增大,这是由于格雷夫斯病中出现的浸润性病变所致。上睑下垂和睑裂退缩被怀疑与提上睑肌中这种浸润性病变的扩展有关。