완전한 회복을 보인 외상성 단독 눈꺼풀처짐 1예

• 영문명: A Case of Complete Recovery of Isolated Neurogenic Ptosis after Trauma
• 발행기관: 대한안과학회
• 저자명: 염명인 김상수 이창규,Myeong In Yeom, MD, Sang Soo Kim, MD, Chang Kyu Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number8, 1261~1265쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.08.15

영문 초록

Purpose: To report a rare case of isolated neurogenic blepharoptosis secondary to eyelid trauma. Case summary: A previously healthy 41-year-old male was evaluated for decreased visual acuity and blepharoptosis in the left eye after ocular trauma. On ophthalmologic examination, visual acuity in the left eye was hand motion, intraocular pressure was 29 mm Hg, hematoma and eyelid edema were minimal. The patient had complete unilateral ptosis with superficial upper eyelid laceration. Additional findings in the left eye included fracture of the medial orbital wall, hyphema, iris sphincter muscle tear, iridodialysis and conjunctival laceration. The other examinations were unremarkable with full ocular motility. Because of iris sphincter muscle tear and iridodialysis, the pupillary reaction could not be evaluated. His left upper eyelid drooped completely and levator function test (LFT) was 0 mm. He was diagnosed with an isolated neurogenic blepharoptosis and received oral prednisolone at a dose of 1 mg/kg per day for 7 days with gradual tapering. One month later, the patient had normal symmetric lid height and completely restored levator function. J Korean Ophthalmol Soc 2014;55(8):1261-1265

키워드

Isolated neurogenic ptosis, Oculomotor nerve