Abstract
A 72 year old patient with bilateral ptosis and progressive restricted eye movements was diagnosed as chronic progressive external ophthalmoplegia CPEO . We performed frontalis suspension surgery with silicone rod as a sling material. The result after twelve month follow up was satisfactory, the visual axis remained open without any complications. Ptosis surgery, is one of the most common operations performed by oculoplastic surgeons. A proper neurologic examination is necessary to diagnose the underlying cause of ptosis. CPEO is a type of mitochondrial myopathy which affects extraocular muscles. Frontalis sling operation is generally performed in patients with severe ptosis and poor levator muscle function. Many autogenous and nonautogenous suspension materials are available with numerous reports of successful correction. Here presented a case of blepharoptosis in CPEO and the surgical result of silicone rod sling of this case
References
- Crawford JS. Repair of ptosis using frontalis muscle and fascia lata. Trans Am Acad Ophthalmol Otolaryngol 1956;60:672– 8.
- Benedikt GHS, Dieter P. Extraocular mitochondrial myopathies and their differential diagnoses. Strabismus 2006;14:107–113.
- Daut PM, Steinemann TL, Westfall CT. Chronic exposure keratopathy complicating surgical correction of ptosis in patients with chronic progressive external ophthalmoplegia. Am J Ophthalmol 2000;130:519–21.
- Cesen W, Engel WK, Walsh GO, et al. Oculocraneosomatic neuromuscular disease with ragged- red fibers. Arch Neurol 1972;26:193–211.
- Salvi SM, Currie ZI . Frontalis suspension sling using palmaris longus tendon in chronic progressive external ophthalmoplegia. Ophthal Plast Reconstr Surg. 2009;25: 140-141.
- Ahn J, Kim NJ, Choung HK, Hwang SW, et al. Frontalis sling operation using silicone rod for the correction of ptosis in chronic progressive external ophthalmoplegia. Br J Ophthalmol 2008;92:1685–1688.
KRONİK PROGRESİF EKSTERNAL OFTALMOPLEJİDE SİLİKON ÇUBUKLARLA FRONTAL ASKILAMA CERRAHİSİNİN KULLANIMI
Abstract
Bilateral pitozu ve progresif göz hareket kısıtlılığı olan 72 yaşındaki hasta, kronik progresif eksternal oftalmopleji KPEO tanısı aldı. Hastaya, askı malzemesi olarak silikon çubuk ile frontal askılama ameliyatı uygulandı. Oniki aylık takip sonrası sonuç tatmin ediciydi, görme aksı herhangi bir komplikasyon olmaksızın açık kalmıştı. Pitoz ameliyatı oküloplastik cerrahlar tarafından sık yapılan operasyonlardan bir tanesidir. Düzgün bir nörolojik muayene, pitozun altta yatan nedenini teşhis etmek için gereklidir. KPEO, ekstraoküler kasların etkilendiği bir mitokondriyal miyopati tipidir. Frontal askılama operasyonu genellikle ağır pitozu ve zayıf levator kas fonksiyonu olan hastalarda uygulanmaktadır. Otojen ve otojen olmayan materyaller ve bunların başarılı sonuçlarını bildiren pek çok yayın mevcuttur. Burada, blefaropitozisi olan KPEO tanılı bir olgu ve bu olgunun silikon çubuk askılama cerrahisi sonucu sunulmuştur
References
- Crawford JS. Repair of ptosis using frontalis muscle and fascia lata. Trans Am Acad Ophthalmol Otolaryngol 1956;60:672– 8.
- Benedikt GHS, Dieter P. Extraocular mitochondrial myopathies and their differential diagnoses. Strabismus 2006;14:107–113.
- Daut PM, Steinemann TL, Westfall CT. Chronic exposure keratopathy complicating surgical correction of ptosis in patients with chronic progressive external ophthalmoplegia. Am J Ophthalmol 2000;130:519–21.
- Cesen W, Engel WK, Walsh GO, et al. Oculocraneosomatic neuromuscular disease with ragged- red fibers. Arch Neurol 1972;26:193–211.
- Salvi SM, Currie ZI . Frontalis suspension sling using palmaris longus tendon in chronic progressive external ophthalmoplegia. Ophthal Plast Reconstr Surg. 2009;25: 140-141.
- Ahn J, Kim NJ, Choung HK, Hwang SW, et al. Frontalis sling operation using silicone rod for the correction of ptosis in chronic progressive external ophthalmoplegia. Br J Ophthalmol 2008;92:1685–1688.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 1, 2014 |
| Published in Issue | Year 2014Issue: 3 |