Eur J Plast Surg (2012) 35:621–623 DOI 10.1007/s00238-011-0574-1 CASE REPORT Surgical correction of ptosis in chronic progressive external opthalmoplegia Nevra Seyhan & Mustafa Keskin & Zekeriya Tosun & Nedim Savaci Received: 2 December 2009 /Accepted: 22 March 2011 /Published online: 3 May 2011 Springer-Verlag 2011 Introduction Case report Chronic progressive external opthalmoplegia (CPEO) is a A 48-year-old woman experienced slowly progressive neuromyopathic disorder characterized by progressive bilateral ptosis starting at age 20 years. She had severe weakness of the extraocular and levator muscles, which vision-impairing ptosis. Lid opening was 1 mm with causes blepharoptosis. Ocular motility is impaired. It is maximal frontalis contraction. Levator function was zero. usually bilateral and symmetrical. Lagophthalmos and Her eye movements were restricted in all directions. She ectropion are frequent because the orbicularis oculi muscle had a masked face appearance with generalized weakness is commonly involved . Other clinical findings are poor of the mimetic muscles but she did not have difficulty in Bell’s phenomenon and poor lid closure. CPEO tends to swallowing and had no heart problems (Fig. 1). begin in young adulthood. Mitochondrial DNA mutations Her elder brother showed the same symptoms raising are increasingly being recognized as the etiology for the
European Journal of Plastic Surgery – Springer Journals
Published: Aug 1, 2012
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