KMID : 0360220080490020352
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Journal of the Korean Ophthalmological Society 2008 Volume.49 No. 2 p.352 ~ p.356
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Inverse Bell`s Phenomenon Following Repeated Levator Resection Surgery
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Na Kyung-Sun
Shin So-Jung Yang Suk-Woo
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Abstract
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Purpose : We report a complication involving a transient inversion of Bell¡¯s phenomenon observed following
extensive levator resection performed to treat aponeurotic ptosis.
Case summary: A 22 year old female patient complained of ptosis of both eyelid. The levator function of
both lid was good, and a normal corneal protection mechanism was observed. The patient underwent levator
resection and several reoperation because of asymmetrical lid height and entropion. Inversion of Bell¡¯s
phenomenon was observed in the postoperative period. Eye with Bell¡¯s phenomenon reverted to normal within
1 month after final operation, and there were no corneal erosion. Lubricating eyedrop was used frequently
during the postoperative period.
Conclusion : It is important to consider that abnormal cases of Bell¡¯s phenomenon sometimes manifest after
repetitive and extensive levator resection and to keep a close watch on the cornea while providing it with
ample lubrication.
J Korean Ophthalmol Soc 49(2):352-356, 2008
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KEYWORD
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Inverse Bell`s phenomenon, Levator resection, Ptosis
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