제3형 머리얼굴틈새와 동반된 양안 선천눈꺼풀결손과 눈물소관결손의 수술적 복원 1예

• 영문명: Surgical Repair of Canalicular Defects and Congenital Eyelid Colobomas Associated with Tessier No. 3 Cleft
• 발행기관: 대한안과학회
• 저자명: 박성욱 김남주 정호경 곽상인,Sung Wook Park, MD, Nam Ju Kim, MD,, Ho-Kyung Choung, MD,, Sang In Khwarg, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number11, 1520~1524쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.11.15

영문 초록

Purpose: To report a single case of surgical repair of the canalicular defects and congenital eyelid colobomas associated with Tessier No. 3 craniofacial cleft. Case summary: A one-month-old girl presented with eyelid colobomas and discharges from the eyes. The patient was diagnosed with a Tessier No. 3 craniofacial cleft with bilateral lower eyelid colobomas medial to the puncta. At the age of 55 months, examination under general anesthesia revealed mid-canalicular obstructions in both lower canaliculi. After pentagonal excision of eyelid colobomas in the left upper and both lower eyelids, both ends of the canaliculi were found at the cut edge of the lower eyelids. After the repair of canalicular defects and bilateral nasolacrimal duct silicone tube intubation, the primary closure of the eyelid defect was performed layer by layer. Although there was no subjective improvement of epiphora in the left eye, a subjective improvement of epiphora in the right eye was achieved, and tear meniscus height in the right eye was halved. Additionally, the eyelid colobomas were cosmetically well repaired at postoperative 6 weeks. The patient still had mild tearing symptoms, but did not complain any longer of discharge at postoperative 4 months. Conclusions: Tessier No. 3 craniofacial cleft with eyelid colobomas can be associated with canalicular defects and nasolacrimal duct obstructions. Surgical repair of the canalicular defects associated with eyelid colobomas should be considered to achieve a functional recovery of the lacrimal drainage system. J Korean Ophthalmol Soc 2010;51(11):1520-1524

키워드

Canalicular defect, Craniofacial cleft, Eyelid coloboma, Symblepharon, Tessier No. 3