Nonophthalmic symptoms secondary to ocular torticollis from severe blepharoptosis: an underappreciated but treatable condition.
Nonophthalmic symptoms secondary to ocular torticollis from severe blepharoptosis: an underappreciated but treatable condition.
复制标题
严重上睑下垂引起的眼部斜颈继发的非眼科症状：一种未被充分认识但可以治疗的疾病。
DOI：
10.1097/iop.0b013e3182191be3
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发表时间：
2012
影响因子：
2
通讯作者：
Kahana,Alon
中科院分区：
文献类型：
--
作者：
Bohnsack,BrendaL;Bhatt,Rina;Kahana,Alon
本病例报告的目的是描述可逆的全身症状与眼斜颈由于眼睑下垂。一项回顾性病历审查确定了因双侧先天性或获得性上睑下垂而发生症状性眼斜颈并接受手术矫正（提上睑肌切除术或额肌悬吊术）的患者。报告了成人全身症状和发育里程碑的术前和术后评估。作者报告4例，成人1例，幼儿3例，均为重度双侧上睑下垂。在成人患者中，它引起了需要骨科评估的衰弱性背痛，但通过上睑下垂修复手术完全缓解。在幼儿中，主观发育运动延迟在上睑下垂修复手术后迅速逆转。作者建议初级保健医生、脊柱和神经肌肉专家在评估不明原因的背部和/或颈部疼痛或粗大运动发育迟缓患者时，考虑眼睑下垂导致眼性斜颈的可能性。作者提出，有症状的眼斜颈是上睑下垂修复的指征。
The purpose of this case report is to describe reversible systemic symptoms associated with ocular torticollis due to blepharoptosis. A retrospective chart review identified patients with symptomatic ocular torticollis due to bilateral congenital or acquired blepharoptosis who underwent surgical correction (levator resection or frontalis sling). Preoperative and postoperative assessment of systemic symptoms in adults and developmental milestones are reported. The authors present 4 cases, 1 adult and 3 young children, all with severe bilateral upper eyelid ptosis. In the adult patient, it caused debilitating back pain that required orthopedic evaluation but was completely relieved with ptosis repair surgery. In the toddlers, subjective developmental motor delay was rapidly reversed following ptosis repair surgery. The authors suggest that primary care physicians, and spine and neuromuscular specialists, consider the possibility of ocular torticollis due to eyelid ptosis in the evaluation of patients with unexplained back and/or neck pain or with gross motor developmental delay. The authors propose that symptomatic ocular torticollis is an indication for ptosis repair.