Cohen J M, Waiss B
State University of New York, State College of Optometry, New York, USA.
J Am Optom Assoc. 1997 Oct;68(10):663-7.
A 46-year-old woman with a long-standing history of chronic progressive external ophthalmoplegia manifested a primary visual symptom of bilateral ptosis. Previous lid surgery was unsuccessful because of severe sight-threatening exposure keratitis.
The patient's problem was managed by fabricating a spectacle-mounted combination ptosis crutch and moisture chamber. The custom device successfully provided both cosmetic and visual relief for the patient while maintaining corneal integrity.
This case demonstrates the effectiveness of a dual-purpose appliance that offers a cosmetically viable alternative to ptosis patients who are high-risk surgical candidates because of potential corneal dehydration.
一名患有慢性进行性外眼肌麻痹病史较长的46岁女性表现出双侧上睑下垂的主要视觉症状。由于严重的威胁视力的暴露性角膜炎,先前的眼睑手术未成功。
通过制作一种安装在眼镜上的组合式上睑下垂支撑器和保湿腔来解决患者的问题。定制装置在保持角膜完整性的同时,成功地为患者提供了美观和视觉上的缓解。
本病例证明了一种两用器械的有效性,该器械为因潜在角膜脱水而成为手术高风险候选者的上睑下垂患者提供了一种在美容上可行的替代方案。