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KMID : 1038220150420020214
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Archives of Plastic Surgery
2015 Volume.42 No. 2 p.214 ~ p.217
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Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension
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Weitgasser Laurenz
Wechselberger Gottfried
Ensat Florian
Kaplan Rene
Hladik Michaela
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Abstract
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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.
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KEYWORD
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Blepharoptosis, Kearns-Sayre syndrome, Chronic progressive external opthalmoplegia, Blepharoplasty
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