A Case of Iatrogenic Horner's Syndrome after Video-Thoracoscopic Surgery for Primary Pneumothorax.
10.3341/jkos.2012.53.1.157
- Author:
Byung Gun PARK
1
;
Jae Won CHOI
;
Il Yong HAN
;
Jae Wook YANG
Author Information
1. Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. eyeyang@inje.ac.kr
- Publication Type:Case Report
- Keywords:
Horner's syndrome;
Iatrogenic;
Video thoracoscopic surgery
- MeSH:
Adolescent;
Anisocoria;
Eye;
Horner Syndrome;
Humans;
Hypohidrosis;
Muscles;
Pneumothorax;
Pupil;
Reflex;
Thoracic Cavity
- From:Journal of the Korean Ophthalmological Society
2012;53(1):157-160
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of iatrogenic Horner's syndrome after video-thoracoscopic surgery for primary pneumothorax. CASE SUMMARY: An 18-year-old man with ptosis in the right eye was referred to our clinic. The patient had undergone wedge resection via video-thoracoscopic surgery for primary pneumothorax three weeks previously. On ocular examination, the palpebral fissure width was 7 mm in the right lid and 8 mm in the left lid, the marginal reflex distance 1 (MRD 1) was 2 mm in the right lid and 3 mm in the left lid, and the bilateral levator muscle function was good. Anisocoria was present, and pupil size in a dark room was 2.5 mm in the right eye and 4 mm in the left eye. The patient complained of facial anhidrosis on the right side of the face. CONCLUSIONS: Although iatrogenic Horner's syndrome is rare complication of video-thoracoscopic surgery for primary pneumothorax, diagnosis after surgery of the thoracic cavity should be made carefully.
