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先天性睑裂增宽症

Congenital euryblepharon.

作者信息

McCord C D, Chappell J, Pollard Z F

出版信息

Ann Ophthalmol. 1979 Aug;11(8):1217-24.

PMID:556149
Abstract

Three cases of congenital euryblepharon are presented. In these cases, horizontal width of the eyelid margin is abnormally increased in comparison to the globe and orbit. The 3 cases were all different. One case had involvement of all 4 lids. Another had unilateral involvement of upper and lower eyelids. A third case had bilateral lower lid involvement associated with other anomalies. The additional anomalies which have not been previously reported include a double row of meibomian gland orifices and an extreme lateral displacement of the lower canaliculus and punctum. All cases had varying degrees of vertical shortage of skin in the involved lids leading to lagophthalmos with a mild to moderate exposure keratitis. A review of previously reported cases of euryblepharon is made. The types of surgical procedures used to correct the deformities are discussed.

摘要

本文报告了3例先天性睑裂增宽症。在这些病例中,睑缘的水平宽度相较于眼球和眼眶异常增加。这3例情况各不相同。1例累及所有4只眼睑。另一例单侧上下眼睑受累。第3例双侧下睑受累并伴有其他异常。此前未报告过的额外异常包括双排睑板腺开口以及下泪小管和泪点的极度外侧移位。所有病例受累眼睑均有不同程度的皮肤垂直短缺,导致兔眼症并伴有轻至中度暴露性角膜炎。对先前报告的睑裂增宽症病例进行了综述。讨论了用于矫正畸形的手术方法类型。

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