Hill V E, Brownstein S, Jordan D R
Department of Ophthalmology, University of Ottawa Eye Institute and Ottawa General Hospital, Ontario, Canada.
Am J Ophthalmol. 1997 Jun;123(6):852-4. doi: 10.1016/s0002-9394(14)71145-6.
To report a case of chronic unilateral ptosis in a 63-year-old, otherwise healthy woman with visual restriction.
We performed a biopsy on an enlarged tarsal plate that we believed had caused ptosis. A levator aponeurotic advancement was performed subsequently.
Histologic and ultrastructural examination of the biopsy specimen disclosed amyloidosis of the tarsal conjunctiva and tarsus. There was no evidence of systemic amyloidosis.
Localized amyloidosis involving the tarsal conjunctiva and tarsus is a rare cause of chronic eyelid thickening and ptosis.
报告一例63岁身体健康但有视力受限的慢性单侧上睑下垂女性病例。
我们对认为导致上睑下垂的肿大睑板进行了活检。随后进行了提上睑肌腱膜前移术。
活检标本的组织学和超微结构检查显示睑结膜和睑板淀粉样变性。无全身淀粉样变性的证据。
累及睑结膜和睑板的局限性淀粉样变性是慢性眼睑增厚和上睑下垂的罕见原因。