什么是上睑下垂（What is ptosis）.docVIP

什么是上睑下垂（What is ptosis） Ptosis can be congenital, active or acquired. Congenital: mainly because of oculomotor nucleus or levator palpebrae dysplasia, autosomal dominant inheritance. Acquired inflammation: inflammatory swelling or new organisms in the upper eyelid due to oculomotor nerve palsy, upper eyelid injury, sympathetic nerve disease, myasthenia gravis, and mechanical opening of the eyelid. If the Department of congenital check: 1.only ptosis (levator muscle function weaken or disappear); the ptosis and superior rectus muscle function; the ptosis and other facial deformities, such as epicanthus; the ptosis and mandibular joint (Marcus-Gunn) transient. With the phenomenon of movement. Such as Department of nature, check whether the traumatic brain injury complicated with orbital or, or combined with cervical sympathetic nerve injury; the disease such as myasthenia gravis; the mechanical properties such as trachoma or eyelid meibomian infiltration, loss of support strength, such as no eye. When myasthenia gravis is suspected, it can be used as a neostigmine test. If you have a sympathetic ptosis, you can test for the use of amphetamine. Differential diagnosis should be made with the following symptoms: The 1. eyelid relaxation eyelid relaxation syndrome (blepharochalasis syndrome), also known as eyelid necrolysis (dermatolysis palpebrarum), atrophic ptosis (ptosis atrophica), is a rare eyelid disease, recurrent eyelid edema in adolescents is characterized with eyelid skin thinning, elastic disappear, wrinkles, color change. With the lacrimal gland prolapse, ptosis and eyelid diameter shortening clinical manifestation. Beer first described the disease in 1807, and in 1896, Fuchs called it eyelid retardation.. Because the syndrome affects the eyelid appearance, it is the main reason for the patient to request treatment, and the understanding of the clinical manifestation and pathogenesis is helpful for the proper treatment. 2. ectropion of eyelid ectropion is abn