Abstract

SO.08.01

Ptosis operation – yes or no? Ophthalmological care of patients with muscle diseases

Viktoria Bau
Klinik und Poliklinik für Augenheilkunde des Universitätsklinikums Carl Gustav Carus der TU Dresden

Patients with mitochondrial CPEO and other muscle diseases (oculopharyngeal muscle dystrophy, myotonic dystrophy, myasthenia) often need and wish a ptosis operation. The risk of diplopia due to secondary incomitant strabismus but primary the risk of exposition keratopathy should be taken into account. This high risk is caused by progressive limitation of eye movements, the lack of Bell´s phenomenon and insufficiency of eye closure due to involvement of orbicularis muscle. Complications are controllable by intensive therapy.

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