title: Surgically mismanaged ptosis in a patient with congenital fibrosis of the extraocular muscles type I.
abstract: Fibrosis syndromes comprise a rare form of severe limitation of ocular motility. An 11-year-old girl was referred for the correction of eyelid retraction. The eyelid retraction occurred immediately following levator resection surgery performed by a plastic surgeon who missed the restrictive extraocular muscle abnormalities. On examination, both eyes were fixed in an infraducted position (20 prism diopters (Δ)), with a chin-up position and significant lagophthalmos. Bilateral 12-mm inferior rectus recession with adjustable sutures was performed, which resulted in significant reduction of lagophthalmos and elimination of the head tilt.
authors.affiliation: Department of Ophthalmology, Ain-Shams University, Cairo, Egypt.
authors.forename: Hatem A
authors.initials: HA
authors.lastname: Tawfik
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Rashad
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D015785:Eye Diseases, Hereditary / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005355:Fibrosis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D015835:Ocular Motility Disorders / Q000150:complications* / Q000175:diagnosis; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*