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斜視手術における眼瞼挙筋腱膜離開を合併した一例

Ari H August1, John E Williamson1, Barry N Wasserman1

  • 1Wills Eye Hospital, Philadelphia, PA, USA.

American journal of ophthalmology case reports
|January 23, 2026
PubMed
まとめ

重度の眼瞼下垂および眼瞼挙筋腱膜離開は、斜視手術のまれな合併症です。この症例は、斜視の再手術および美容処置後の潜在的なリスクを強調しています。

科学分野:

  • 眼科学;手術合併症

背景:

  • 斜視手術は、残存斜視、感染、および前眼部虚血などの合併症を引き起こす可能性がある。;重度の眼瞼下垂は、斜視手術後のまれであるが重要な合併症である。

研究 の 目的:

  • 斜視再手術後の重度の眼瞼下垂および完全な眼瞼挙筋腱膜離開のまれな症例を提示する。;この合併症の潜在的な要因を議論する。

主な方法:

  • 斜視および弱視の既往歴のある31歳女性の症例報告。;低眼位およびその後の眼瞼修復のための手術介入の詳細な説明。;眼瞼修復中に完全な眼瞼挙筋腱膜離開の同定。

主要な成果:

  • 患者は斜視の再手術後に右上位眼瞼の重度の眼瞼下垂および完全な眼瞼挙筋腱膜離開を発症した。;眼瞼下垂は美容フィラー注入後に悪化し、眼瞼修復手術に先行した。;眼瞼挙筋腱膜離開の手術的矯正が行われた。

結論:

  • 完全な眼瞼挙筋腱膜離開に続発する重度の眼瞼下垂は、斜視手術後に発生する可能性がある。;患者および処置関連の要因が、この合併症の発生に影響を与える可能性がある。;これは、まれな手術合併症の認識と管理の重要性を強調している。
キーワード:
眼瞼下垂動眼神経筋術後合併症再手術斜視

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