Ocular lichen planus as a cause of recurrent restrictive strabismus

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-01 DOI:10.1016/j.jaapos.2024.103920

Leyla Yavuz Saricay MD , Hajirah N. Saeed MD , Michael Yoon MD , Anna M. Stagner MD , Lindsey A. MacFarlane MD, MPH , Eric D. Gaier MD, PhD , Jia Yin MD, MPH , David G. Hunter MD, PhD

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引用次数: 0

Abstract

We report the case of an 80-year-old man with restrictive strabismus in lateral gaze following multiple oculoplastic procedures for idiopathic epiphora. Despite excellent initial response to nasal conjunctival recession with lysis of adhesions and a miminal recession of the medial rectus muscle, the patient suffered recurrence of diplopia associated with limitation of abduction due to aggressive, deep, subconjunctival scarring. Given the history of oral lichen planus (LP), the patient was diagnosed with ocular involvement of LP. He underwent a second conjunctival recession, this time accompanied by an intensive LP treatment regimen. Nine months after surgery, he remained diplopia free and orthophoric in primary gaze. Surgeons treating restrictive strabismus in patients with LP should consider implementing systemic and topical immunosuppressive treatment simultaneously with surgical management.

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眼扁平苔藓是复发性局限性斜视的病因之一。

我们报告了一例 80 岁男性患者的病例，他曾因特发性眼睑外翻接受过多次眼部整形手术，之后出现侧视限制性斜视。尽管患者最初对鼻结膜切除术和粘连溶解术反应良好，并对内侧直肌进行了微创切除，但由于结膜下瘢痕过深，患者复视复发，外展受限。鉴于患者有口腔扁平苔藓（LP）病史，他被诊断为眼部受累的扁平苔藓。他接受了第二次结膜剥脱术，这次同时接受了强化的 LP 治疗方案。术后九个月，他仍然没有复视，并且在主要注视时保持正视。外科医生在治疗 LP 患者的局限性斜视时，应考虑在手术治疗的同时，实施全身和局部免疫抑制治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.