Rzadka izolowana wrodzona szczelina powieki górnej z tłuszczakiem powieki – opis przypadku

2020 ◽  
Vol 8 (4) ◽  
pp. 129-132
Author(s):  
Anna Chrapusta
Keyword(s):  
Psychological Development ◽  
Bilateral Ptosis ◽  
Upper Eyelid ◽  
Facial Defects ◽  
Functional Problem

Congenital eyelid defects mainly include unilateral or bilateral ptosis of epicanthic folds or atresia of the tear ducts. Eyelid defects can also be associated with cleft facial defects as described by Tessier. These defects are rare especially if they are isolated. The eyelid fissure, depending on its size, may cause a functional problem related to incomplete protection of the eye against drying out, or an aesthetic problem, which is particularly important in the psychological development of a child. The reconstruction of the upper eyelid with restoration of its full continuity is a prerequisite for improving the appearance and comfort of life of the growing child.

scholarly journals Levator palpabrae superioris myositis as an unusual cause of unilateral ptosis—case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Ahmed M. Abdrabou
Keyword(s):  
Previous History ◽  
Good Prognosis ◽  
Oculomotor Nerve Palsy ◽  
Ophthalmological Examination ◽  
Bilateral Ptosis ◽  
Mri Findings ◽  
Upper Eyelid ◽  
Unilateral Disease ◽  
The Right ◽  
Mri Study

Abstract Background Ptosis can be a manifestation of a more serious situation. Hence, the analysis of the complaint and the search for etiology are crucial in such cases. Ptosis has many causes; some of them lead to unilateral ptosis while others cause bilateral ptosis. For instance, myasthenia gravis is a cause of bilateral ptosis while oculomotor nerve palsy induces unilateral disease. Proper evaluation of the patient and identification of the cause are important to achieve accurate management and good prognosis. Case presentation A 47-year-old male patient attended the ER complaining of dropping the right eye lid of 2 days’ duration. There was no associated pain or diplopia. On examination, the extraocular muscles’ (EOM) motility was intact, normal pupil and corneal reflexes, and there was swelling of the upper eyelid. Ophthalmological examination revealed normal anterior and posterior chambers as well as the vitreous and retina. The patient had a previous history of traumatic intracranial hemorrhage that was resolved without surgical intervention. He also had diabetes mellitus and hypertension. The patient was transferred to the MRI unit to perform MRI study of the brain and orbit with MRA and IV contrast administration. MRI findings confirmed the diagnosis of LPS myositis, and the patient received medical treatment and improved. Conclusion Proper radiological diagnosis leads to accurate management and achieves rapid recovery and optimal patient care.

scholarly journals Anxiety Disorder and Alternating Bilateral Ptosis as the First Symptoms of Diabetes: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Song Wang ◽  
Mei-lan Su ◽  
Ming-hong Zhang ◽  
Song Wang ◽  
Zhong-Hui Zou ◽  
...  
Keyword(s):  
Case Report ◽  
Anxiety Disorder ◽  
Nerve Palsy ◽  
Blood Glucose Control ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Comprehensive Treatment ◽  
Bilateral Ptosis ◽  
Upper Eyelid

Introduction: Long-term diabetes may cause oculomotor nerve palsy and anxiety disorder. Diabetic oculomotor nerve palsy is usually accompanied by diplopia, ptosis and eye movement disorders. The oculomotor nerve is often separated into superior and inferior divisions; diabetic third cranial nerve palsy may affect either division in isolation. However, anxiety disorder and alternating bilateral ptosis as the first symptoms of diabetes are extremely rare. Case Presentation: This case report describes a 63-year-old female patient who was admitted to the hospital for anxiety disorder with bilateral alternating ptosis. The patient had no diplopia or other new focal neurological symptoms. A neurological examination revealed left upper eyelid ptosis; other findings were negative. Except for hyperglycemia (13.96 mmol/L) and glycated hemoglobin (7.9%), laboratory tests showed no other abnormalities. The patient eventually recovered in a short time after a comprehensive treatment, including effective blood glucose control, microcirculation improvement and anxiety management. Conclusion: The upper eyelid droop caused by long-term diabetes may result in anxiety disorder. A comprehensive treatment may be considered for the patients admitted to the hospital for diabetes and its vascular neuropathy.

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