睁眼失用症

Apraxia of lid opening

目的探讨睁眼失用症的诊断和治疗。方法对2例睁眼失用症患者进行分析,进一步了解睁眼失用症的诊断和治疗方法。结果睁眼失用症表现为不能意愿睁眼、非瘫痪性的、缺乏可见的眼轮匝肌收缩。睁眼失用症主要由于不随意的提上睑肌活动抑制和睑板前的眼轮匝肌收缩。手术治疗可用睑成形术、眼轮匝肌切除术、额肌悬吊等方法。有些患者用肉毒毒素注射到睑板前眼轮匝肌有效;有些患者用抗胆碱能药、丙戊酸等药物治疗有效。结论睁眼失用症早期诊断和治疗,有助于患者早期康复。

Objective To learned the diagnosis and treatment of Apraxia of lid opening. Methods To learned more about apraxia of lid opening by analysing two cases. Results Apraxia of lid opening is a nonparalytic inability to open the eyes at will in the absence of visible contraction of the orbicularis oculi muscle, resulting from involuntary levator palpebrae inhibition and pretarsal orbicularis oculi contraction. They underwent surgical treatment such as blepharoplasty,limited myectomy, frontalis suspension and so on. Some of them needed botulinum toxin injections in the pretarsal part of orbicularis oculi muscles. Some of them could be treated by some drugs such as anticholine drugs, valproic acid, and so on. Conclusion It is help to cure the patients early by learning the diagnosis and treatment about Apraxia of lid opening.