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Am J Ophthalmol. 2000 Oct;130(4):519-21.

Chronic exposure keratopathy complicating surgical correction of ptosis in patients with chronic progressive external ophthalmoplegia.

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1
University of Arkansas Medical Sciences, Little Rock, AR 72205-7199, USA.

Abstract

PURPOSE:

To report chronic exposure keratopathy related to surgical ptosis correction in patients with chronic, progressive, external ophthalmoplegia.

METHODS:

Case reports of three patients with chronic exposure keratopathy following blepharoptosis surgery.

RESULTS:

We report three patients with chronic progressive external ophthalmoplegia with chronic corneal complications after surgical ptosis repair. All three gave a history of blepharoptosis and extraocular muscle dysfunction. Each presented with chronic corneal ulceration. All had histories suggestive of ophthalmoplegia. Treatment of corneal ulceration necessitated hospitalization and surgical intervention.

CONCLUSION:

Patients with chronic, progressive, external ophthalmoplegia have little ability to properly protect the eye from exposure and are at risk for corneal damage. A thorough ophthalmic history and examination before ptosis surgery may prevent the corneal complications resulting from surgical intervention.

PMID:
11024427
[Indexed for MEDLINE]
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