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Ptosis caused by pachydermoperiostosis
Atilla Arinci1, Burçak Tümerdem, M Akif Karan
1Department of Plastic and Reconstructive Surgery, Istanbul University, Istanbul Medical Faculty, Ataköy 9, Kisim B1 blok D:56, 34750 Ataköy, Istanbul, Turkey.
Annals of Plastic Surgery
|September 28, 2002
Summary
Pachydermoperiostosis can cause eyelid ptosis, impacting vision and appearance. Surgical correction involving skin/muscle resection and levator aponeurosis shortening successfully restored function and aesthetics.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Pachydermoperiostosis is a rare genetic disorder characterized by bone thickening and distinctive facial changes.
- Enlarged, thickened upper eyelids (ptosis) can lead to visual impairment and cosmetic concerns.
Observation:
- A 39-year-old male patient with pachydermoperiostosis presented with significant upper eyelid hypertrophy causing difficulty in opening his eyes.
Findings:
- Surgical correction included resection of excess skin and orbicularis muscle, levator aponeurosis plication, and lateral wedge resection of the upper lid.
- A transconjunctival tarsectomy was also performed to further improve eyelid contour.
- The surgical intervention successfully corrected visual impairment and achieved a satisfactory aesthetic outcome.
Implications:
- This case demonstrates the efficacy of a combined surgical approach for eyelid correction in patients with pachydermoperiostosis.
- The described techniques offer a viable solution for functional and cosmetic restoration in similar complex cases.
- Further research into surgical techniques for rare genetic disorders affecting the eyelids is warranted.