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[Ptosis associated with pachydermoperiostosis].
N Ben Rayana-Chekir1, S Khochtali, S Yakoubi
1Service d'ophtalmologie, centre hospitalo-universitaire Farhat-Hached de Sousse, 9, rue El farabi, 4000 Sousse, Tunisie.
Journal Francais D'Ophtalmologie
|July 16, 2013
Summary
Pachydermoperiostosis, a rare condition causing eyelid thickening, can lead to ptosis. Surgical correction of this ptosis through eyelid tissue removal offers satisfactory cosmetic results.
Area of Science:
- Ophthalmology
- Genetics
- Dermatology
Background:
- Pachydermoperiostosis (primary hypertrophic osteoarthropathy) is a rare inherited disorder.
- It is characterized by skin thickening (pachydermia), digital clubbing, and bone changes (periostosis).
- This condition can manifest with ocular complications, including ptosis.
Observation:
- A 49-year-old male presented with bilateral ptosis.
- Clinical examination revealed facial and extremity pachydermia, digital clubbing, and periostosis.
- Eyelid examination showed markedly thickened eyelids and reduced palpebral apertures (<4mm).
Findings:
- The patient's presentation was consistent with pachydermoperiostosis, with ptosis attributed to palpebral hypertrophy.
- Secondary causes of ptosis were excluded.
- Surgical ptosis correction involved palpebral skin and orbicularis muscle resection, along with tarsectomy.
Implications:
- Pachydermoperiostosis is an uncommon cause of ptosis due to eyelid thickening.
- Surgical intervention, including skin, muscle, and tarsus excision, can yield good cosmetic outcomes for ptosis in this condition.
Keywords:
Hypertrophic osteoarthropathyOstéoarthropathie hypertrophiantePachydermiaPachydermiePachydermoperiotosisPachydermopériostosePtosisPtôsis