J M Cohen1, B Waiss. 1. State University of New York, State College of Optometry, New York, USA.
Abstract
BACKGROUND: A 46-year-old woman with a long-standing history of chronic progressive external ophthalmoplegia manifested a primary visual symptom of bilateral ptosis. Previous lid surgery was unsuccessful because of severe sight-threatening exposure keratitis. CASE REPORT: The patient's problem was managed by fabricating a spectacle-mounted combination ptosis crutch and moisture chamber. The custom device successfully provided both cosmetic and visual relief for the patient while maintaining corneal integrity. CONCLUSIONS: This case demonstrates the effectiveness of a dual-purpose appliance that offers a cosmetically viable alternative to ptosis patients who are high-risk surgical candidates because of potential corneal dehydration.
BACKGROUND: A 46-year-old woman with a long-standing history of chronic progressive external ophthalmoplegia manifested a primary visual symptom of bilateral ptosis. Previous lid surgery was unsuccessful because of severe sight-threatening exposure keratitis. CASE REPORT: The patient's problem was managed by fabricating a spectacle-mounted combination ptosis crutch and moisture chamber. The custom device successfully provided both cosmetic and visual relief for the patient while maintaining corneal integrity. CONCLUSIONS: This case demonstrates the effectiveness of a dual-purpose appliance that offers a cosmetically viable alternative to ptosispatients who are high-risk surgical candidates because of potential corneal dehydration.
Authors: Kevin E Houston; Matteo Tomasi; Christina Amaral; Nicole Finch; Michael K Yoon; Hang Lee; Eleftherios I Paschalis Journal: Transl Vis Sci Technol Date: 2018-01-19 Impact factor: 3.283