Instituto de Oftalmologia Doutor Gama Pinto, Lisboa, Lisboa, Portugal
Hospital Garcia de Orta, Almada, Portugal, Portugal.
BMJ Case Rep. 2022 Feb 2;15(2):e246862. doi: 10.1136/bcr-2021-246862.
Eagle syndrome is a rare entity that occurs when an elongated styloid process compresses the neck vasculonervous structures. A 47-year-old female patient was referred to our glaucoma clinic for a second opinion concerning bilateral visual field progression despite maximal tolerated medical therapy. After aggressive intraocular pressure lowering and resorting to surgical and optimised medical treatment, the visual field kept stable in the right eye but was still showing progression in the left eye. As optic disc was paler in the left eye and after full appreciation of systemic complaints, including left neck, ear and eye pain, a multidisciplinary approach with otorhinolaryngology was prompted. Plain radiographs of the skull showed an elongated styloid process on the left side, compatible with Eagle syndrome. Surgical resection of the styloid process provided definitive relief of the patient's eye, ear and neck pain. Since this intervention, there was no further deterioration of visual field defect in the left eye.
鹰钩综合征是一种罕见的疾病，当细长的茎突压迫颈部血管神经结构时就会发生。一名 47 岁女性患者因双眼视野进展而被转诊至我们的青光眼诊所寻求第二意见，尽管已接受最大耐受的药物治疗。在积极降低眼内压并采用手术和优化药物治疗后，右眼视野保持稳定，但左眼仍在进展。由于左眼视盘更苍白，且充分了解到包括左侧颈部、耳朵和眼睛疼痛在内的全身症状后，提示采用耳鼻喉科多学科方法。颅骨的普通 X 光片显示左侧茎突细长，符合鹰钩综合征。茎突切除术为患者的眼部、耳部和颈部疼痛提供了明确的缓解。自该干预以来，左眼的视野缺损没有进一步恶化。
