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上睑疤痕性外翻临床上少见,也很少有过报导。偶然发生于烫伤,外伤,先天性鳞癣症。作者曾遇到一例带状疱疹引起的上睑疤痕性外翻,经全厚皮瓣移植而获得矫正,报导如下: 患者女性,95岁,因右眼睑严重坏死性带状疱疹而入院。病人神志轻度不清,右眼睑沿第V脑神经第一分支区,皮肤上有坏死性焦痂较多,右眼上睑明显水肿及红斑。右眼睁不大。右眼矫正视力为20/200,结膜角膜正常,前房深,无细胞及闪光,瞳孔直径3 mm,对光反应正常,辐辏存在,无Marcus-Gunn氏综合征。晶体核硬化,周边皮质少许混浊,眼压15 mmHg,眼底有老年性黄斑变性,四周有色素分布,视神经及视网膜周边正常,治疗用氢化可地松及磺胺溶液外部湿敷,静脉滴注ACTH 40单位,每日一次
Blepharocephalus clinically rare, rarely reported. Occasionally occurred in scalds, trauma, congenital otorrhea disease. The authors have encountered a case of upper eyelid scarring eversion caused by shingles, obtained by the full thickness flap transplantation and reported as follows: The female patient, 95 years old, admitted to hospital with severe necrotizing herpes zoster due to the right eyelid. The patient’s consciousness was mild and unclear. The right eyelid was along the first branch of the V-cranial nerve with more necrotic eschar and obvious edema and erythema in the right upper eyelid. Right eye is not big. Right eye corrected visual acuity of 20/200, conjunctival cornea normal, deep anterior chamber, no cells and flash, the pupil diameter of 3 mm, the light response is normal, the presence of vergence, no Marcus-Gunn’s syndrome. Crystal nucleus sclerosis, a little turbid peripheral cortex, intraocular pressure 15 mmHg, macular degeneration in the eyes, around the pigment distribution, normal peripheral optic nerve and retina, treatment with hydrocortisone and sulfa external wet compress, intravenous infusion of ACTH 40 Unit, once daily