Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension.
10.5999/aps.2015.42.2.214
- Author:
Laurenz WEITGASSER
1
;
Gottfried WECHSELBERGER
;
Florian ENSAT
;
Rene KAPLAN
;
Michaela HLADIK
Author Information
1. Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria. Laurenz.weitgasser@pmu.ac.at
- Publication Type:Case Report
- Keywords:
Blepharoptosis;
Kearns-Sayre syndrome;
Chronic progressive external opthalmoplegia;
Blepharoplasty
- MeSH:
Blepharoplasty;
Blepharoptosis*;
Humans;
Kearns-Sayre Syndrome*;
Middle Aged;
Mitochondrial Diseases;
Muscular Diseases;
Ophthalmoplegia, Chronic Progressive External;
Pathology;
Surgery, Plastic
- From:Archives of Plastic Surgery
2015;42(2):214-217
- CountryRepublic of Korea
- Language:English
-
Abstract:
Blepharoptosis is a common indication for surgery in plastic surgery units, yet its possible underlying pathology frequently remains unidentified. A 52-year-old man with a 20-year history of progressive bilateral ptosis (right>left) presented with recurrent ptosis of both eyes; he had undergone an operation on the levator aponeurosis 12 years prior. Due to the suspicion of an underlying disease, he was evaluated further. Chronic progressive external ophthalmoplegia in transition to the more severe syndromic variant Kearns-Sayre syndrome, a mitochondrial disorder causing myopathy, was diagnosed. The patient was treated with coenzyme Q10, and he underwent ptosis surgery on both eyes. This case illustrates a potentially multi-systemic disease that was diagnosed by a further evaluation of a common symptom, in this case worsening blepharoptosis. Awareness of myopathic symptoms is necessary to prevent overlooking serious yet improvable conditions.
