안와내벽골절 정복술 후 발생한 심한 일시적인 신경성 위눈꺼풀처짐 2예

• 영문명: Temporary Severe Neurogenic Blepharoptosis after Reconstruction of Orbital Medial Wall Fracture
• 발행기관: 대한안과학회
• 저자명: 정수경 최진아 나태윤,Su Kyung Jung, MD, Jin A Choi, MD, Tae Yoon La, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number9, 1099~1103쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.09.15

영문 초록

Purpose: To report two cases of temporary severe neurogenic blepharoptosis after successful reconstruction of orbital medial wall fracture. Case summary: A 36-year-old woman and a 52-year-old man received orbital medial wall reconstruction with Medpor^{? for large fractures. Before the operation, the patients had only moderate swelling of the lid and periorbital ecchymosis. There were no limitations of extraocular muscles or ptosis. The operations were successful, although the patients developed unilateral complete ptosis with totally impaired levetor muscle function immediately after recovering from anesthesia. There were no anisocoria or limitations of the extraocular muscles. After oral steroid therapy, the patients began to improve on postoperative day 4 and after one month, respectively, and recovered to normal lid height and levator function after two months. Conclusions: Blepharoptosis after orbital medial wall reconstruction may result from ischemic damage at the end of the superior branch of the oculomotor nerve in the orbit due to compressive and tractional manipulation. Although very rare and temporary, this complication should be considered important because the occurrence can be unpredictable and may cause dissatisfaction to the surgeon and the patient after a successful operation. J Korean Ophthalmol Soc 2011;52(9):1099-1103}

키워드

Neurogenic blepharoptosis, Oral steroid, Orbital medial wall fracture