Surgical correction of true plus-minus lid syndrome: a case report
10.3760/cma.j.cn114453-20231116-00225
- VernacularTitle:手术矫正真性正负眼睑综合征1例
- Author:
Xinxin LI
1
;
Yufeng LIU
;
Ning LIU
;
Liang HU
Author Information
1. 南京中医药大学附属南京医院（南京市第二医院）整形外科，南京 210003
- Keywords:
Eyelids;
Plus-minus lid syndrome;
Levator palpebrae superioris;
Ptosis;
Retraction of upper eyelid
- From:
Chinese Journal of Plastic Surgery
2024;40(7):743-746
- CountryChina
- Language:Chinese
-
Abstract:
True plus-minus lid syndrome is a rare clinical phenomenon characterized by ptosis on one side of the upper eyelid and uncompensated retraction on the other side. The reported cases in the past were all acquired plus-minus lid syndrome cases. This article presented a 26-year-old female patient with true plus-minus lid syndrome, who was in good health with no history of other underlying diseases, surgery or trauma. Her upper eyelid had been asymmetrical since childhood, showing retraction on the right and mild ptosis on the left, and it was left untreated. In March 2022, the patient was admitted to the Department of Plastic Surgery at the Second Hospital of Nanjing, Nanjing University of Chinese Medicine. The levator muscle of the upper eyelid was shortened on the left side, and the levator muscle of the upper eyelid was released and lengthened on the right side by surgery. After a 17-month follow-up, the bilateral corneal exposure rate was basically symmetrical, and the operative effect was satisfactory. The author also discussed the symptoms, signs, and differential diagnosis of true and pseudo plus-minus lid syndrome by reviewing the literature and inferred the pathogenesis of this case, which is helpful for selecting surgical methods.
