Case Report: Use of Prosthetic Replacement of the Ocular Surface Ecosystem Treatment of Traumatic Lid Ptosis in a Pediatric Patient
Case Report: Use of Prosthetic Replacement of the Ocular Surface Ecosystem Treatment of Traumatic Lid Ptosis in a Pediatric Patient
复制标题
DOI：
10.1097/opx.0000000000001612
复制
发表时间：
2020-12-01
影响因子：
1.4
通讯作者：
Carrasquillo, Karen G.
中科院分区：
文献类型：
--
作者：
Phillis, Kendra;Brocks, Daniel;Carrasquillo, Karen G.
意义本报告分享了不常见的眼表生态系统假体置换（PROSE）治疗和巩膜晶状体治疗非手术候选人的上睑下垂患者的长期结局。本研究旨在描述一例儿童创伤性眼睑下垂，并随访PROSE治疗8年。病例报告：7岁的罗马尼亚女孩，由于机动车事故导致严重的颅、面部和眼部创伤。严重的上睑下垂伴左侧面瘫和不规则散光显著降低了患者左眼的视功能。她接受了左眼巩膜假体装置的评估和治疗，以改善视力、眼表和日常生活活动的整体功能。经过8年的PROSE治疗，左眼的视力保持稳定，为20/25。在此期间，角膜健康保持稳定，没有角膜新生血管或角膜水肿的并发症。结论眼表生态系统治疗的假体置换为创伤性眼睑下垂提供了眼表支持和机械性左上眼睑提升，最终在儿科患者中提供了长达8年的视觉功能改善。需要进一步的研究来评估这种方法在更广泛的上睑下垂病例中的适用性。
SIGNIFICANCEThis report shares the long-term outcomes of an uncommon use of prosthetic replacement of the ocular surface ecosystem (PROSE) treatment and scleral lenses in the treatment for patients with ptosis who are not surgical candidates. PURPOSEThis study aimed to describe a case of pediatric traumatic lid ptosis and follow-up during an 8-year period with PROSE treatment. CASE REPORTA 7-year-old Honduran girl presented with a history of severe cranial, facial, and ocular trauma as a result of a motor vehicle accident. Significant ptosis with left-sided facial paralysis and irregular astigmatism significantly reduced the patient's visual function in the left eye. She was evaluated and treated with a scleral prosthetic device in the left eye to improve vision, the ocular surface, and overall function for activities of daily living. After 8 years of PROSE treatment, acuity in the left eye remained stable at 20/25. The corneal health remained stable throughout this period, without complications of corneal neovascularization or corneal edema. CONCLUSIONSProsthetic replacement of the ocular surface ecosystem treatment provided support of the ocular surface and mechanical left upper eyelid lift in a traumatic eyelid ptosis, ultimately providing improved visual function during an extensive 8-year period in a pediatric patient. Further studies are needed to evaluate the applicability of this approach in broader ptosis cases.