Frontalis sling procedure for ocular myasthenia gravis

A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments - such as cholinesterase inhibitors and steroids - had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any ey...

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Bibliographic Details
Published inClinical ophthalmology (Auckland, N.Z.) Vol. 6; no. default; pp. 575 - 577
Main Authors Asamura, Shinichi, Kakizaki, Hirohiko, Enjyo, Mitsuhiro, Hashimoto, Takahiro, Isogai, Noritaka
Format Journal Article
LanguageEnglish
Published New Zealand Dove Medical Press Limited 01.01.2012
Taylor & Francis Ltd
Dove Press
Dove Medical Press
Subjects
Care and treatment
Case Report
Case studies
Eye
frontalis sling
Health aspects
Myasthenia gravis
ocular myasthenia gravis
Ophthalmology
ptosis
Surgery
Japan
frontalis sling
ocular myasthenia gravis
ptosis
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Summary:A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments - such as cholinesterase inhibitors and steroids - had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any eye movement disturbances, bilateral frontalis sling procedures were performed with an autologous fascia lata. One year after the operation, the operated upper eyelids showed symmetrically appropriate heights with good functional outcome. A sling procedure with an autologous fascia lata was suitable for correcting poor levator function of an ocular myasthenia gravis case.
ISSN:1177-5483
1177-5467
1177-5483
DOI:10.2147/OPTH.S30612