윗눈꺼풀 성형술로 치료한 특발성 윗눈꺼풀 부종 환자 1예

• 영문명: A Case of Idiopathic Upper Eyelid Swelling Treated by Upper Eyelid Blepharoplasty
• 발행기관: 대한안과학회
• 저자명: 최승권 주락현 염정훈,Seung Kwon Choi, MD, Lock Hyun Ju, MD, Jung Hoon Yum, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume56,number1, 119~123쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.01.15

영문 초록

Purpose: To report a case of idiopathic upper eyelid swelling with minimal response to steroid treatment treated by upper eyelid blepharoplasty. Case summary: A 69-year-old man with diabetes mellitus and smoking history, presented upper eyelid swelling in both eyes starting 5 years ago. The patient had been receiving systemic steroid treatment for idiopathic upper eyelid swelling, though each attempt to taper steroid treatment led to recurrence of eyelid swelling. In the initial examination, both upper eyelids showed swelling. For differential diagnosis, a work-up including laboratory test and computerized tomography (CT) scan of the orbit were initiated. There were no abnormalities on laboratory tests including the thyroid function test. A CT scan of the orbit was unremarkable. For managing symptoms and inflammation, smoking was stopped and steroid treatment was administered. The patient still, however, complained of discomfort and swelling. To relieve symptoms and debulk inflammatory tissue, bilateral upper eyelid blepharoplasty was performed. The patient experienced reduced discomfort after the surgery. The biopsy showed no abnormalities, except for mild inflammation. Conclusions: We present a case of idiopathic upper eyelid swelling despite steroid treatment. In this case, upper eyelid blepharoplasty was used with excellent functional and cosmetic outcomes. Thus, suspension of steroid treatment in cases of patients with recurrent eyelid swelling, in spite of steroid treatment, should be considered. J Korean Ophthalmol Soc 2015;56(1):119-123

키워드

Idiopathic upper eyelid swelling, Steroid-resistant upper eyelid swelling, Steroid side effect, Upper eyelid blepharoplasty