IROGENIC LAGOPHTALMOS AFTER SURGICAL CORRECTION OF PTOSIS OF THE UPPER EYELID (Clinical case)
Author: Mufazzal Imonova
Base Hospital / Institution: REPUBLICAN CLINICAL OPHTHALMOLOGICAL HOSPITAL
ePoster presentation
Abstract ID: 24-126
Purpose
Оbservation of the state of the organ of vision in iatrogenic lagophthalmos after surgical correction of ptosis of the upper eyelid
Methods
Standard ophthalmological examination methods included: visometry, tonometry, biomicroscopy, A-B scanning, autorefractometry.
Special research methods: Bell’s phenomenon was positive.
Results
Ophthalmological status at the time of treatment: OD – 0.08 sph (-) 8.0= 0.9; OS – pr. certae. Intraocular pressure OD/OS= 16.0/ 16.0 mmHg. A scan: OD PZO – 26 m ;OS PZO- 31.58 mm. B –scan: OD – destruction of the vitreous body, the retina is attached; OS – destruction of the steloid body is pronounced, the retina is attached. OU – Tear ducts are passable.
Biomicroscopy: OD – without pathologies, OS – eyelids are swollen, hyperemic, there is a postoperative scar on the upper eyelid, the upper eyelid is not mobile (persistent lagophthalmos). Restriction of the movement of the eyeball to the top. Pronounced mixed injection, conjunctival chemosis, the cornea is swollen, cloudy, there is a purulent corneal ulcer 3.0 x 4.0 reaching the stromal layer in the optical and parooptic parts. There is a destimentocele in the inner part.
Pronounced conjunctival chemosis, the cornea is edematous, cloudy, in the optical and parooptic parts there is a purulent corneal ulcer measuring 3.0 x 4.0 reaching the stromal layer. There is a destimentocele in the inner part. The front chamber is of medium depth, the moisture is transparent. The iris color and relief are preserved, the pupil d = 3 mm the reaction to light is sluggish. The rest of the departments are not visible.
Partial blepharography with amniotic membrane transtplantation was performed. Against the background of local and general, anti-inflammatory, antimicrobial, antiviral and regenerative therapy.
Conclusion
The analysis of the clinical material indicates the need for a differentiated approach to the diagnosis and surgical treatment of upper eyelid ptosis, taking into account its pathogenesis and severity. The ophthalmological status of the patient and the choice of tactics from a pathogenetic point of view are fundamental.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Dilbar | Maxkamova | REPUBLICAN CLINICAL OPHTHALMOLOGICAL HOSPITAL |
