Myopexie de Cüppers comme traitement de la pseudoptose; a propos de deux exemples [Cüpper myopexy as treatment of pseudoptosis; apropos of 2 cases]

Details

Serval ID
serval:BIB_8629
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Myopexie de Cüppers comme traitement de la pseudoptose; a propos de deux exemples [Cüpper myopexy as treatment of pseudoptosis; apropos of 2 cases]
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Spahn B., Klainguti G.
ISSN
0023-2165
Publication state
Published
Issued date
1998
Volume
212
Number
5
Pages
410-412
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article
Abstract
BACKGROUND: According to Hering's law, the induced palsy of an extraocular muscle will result in an increased innervational flow to this muscle as well as to its contralateral synergist. A retroequatorial myopexy (Cüppers Faden Operation), with or without muscle recession, can be considered as an iatrogenic palsy. METHODS: Two patients, aged 16 and 5 years respectively, presented with hypotropia, the deviated eye showing limited ocular movements in elevation and pseudoptosis of the upper eye lid. Both patients underwent surgery, this consisting of a posterior fixation and recession of the superior rectus of the sound eye. RESULTS: After surgery, both cases showed a stable improvement of the opening of the palpebral fissure and of the vertical deviation. CONCLUSIONS: This surgical procedure was already described by Cüppers and, although rarely performed, does represent a useful surgical alternative in cases of partial ptosis of the upper eye lid together with hypotropia.
Keywords
Adolescent, Blepharoptosis/diagnosis, Blepharoptosis/etiology, Child, Preschool, Humans, Male, Oculomotor Muscles/surgery, Strabismus/diagnosis, Strabismus/etiology, Suture Techniques, Treatment Outcome
Pubmed
Web of science
Create date
19/11/2007 12:46
Last modification date
20/08/2019 14:45
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