Gross R H, Mannis M J
Department of Ophthalmology, University of California, Davis 95816-7051, USA.
Am J Ophthalmol. 1997 Jul;124(1):109-10. doi: 10.1016/s0002-9394(14)71654-x.
To report a 2-year-old child who had chronic unilateral conjunctivitis and spontaneous left upper eyelid eversion during sleep consistent with the floppy eyelid syndrome.
The patient's parents used a video camera to document nocturnal ectropion of the left upper eyelid. Examination demonstrated left upper eyelid swelling and left palpebral conjunctival hyperemia with papillary hypertrophy.
All signs and symptoms of the floppy eyelid syndrome resolved with taping of the left upper and lower eyelids to close the palpebral fissure and to prevent ectropion during sleep, and with application of ocular lubricants.
Floppy eyelid syndrome may manifest in childhood without other contributing conditions and should be considered in the differential diagnosis of chronic papillary conjunctivitis in patients at any age.
报告一名2岁儿童，患有慢性单侧结膜炎，睡眠期间出现自发性左上睑外翻，符合松弛性眼睑综合征。
患者父母用摄像机记录左上睑夜间外翻情况。检查发现左上睑肿胀，左睑结膜充血伴乳头肥大。
通过粘贴左上、下眼睑以闭合睑裂并防止睡眠期间外翻，以及应用眼部润滑剂，松弛性眼睑综合征的所有体征和症状均消失。
松弛性眼睑综合征可能在儿童期出现，无其他相关情况，在任何年龄患者慢性乳头性结膜炎的鉴别诊断中均应考虑。
