Combination ptosis crutch and moisture chamber for management of progressive external ophthalmoplegia
Cohen, J.M.; Waiss, B.
Journal of the American Optometric Association 68(10): 663-667
1997
ISSN/ISBN: 0003-0244 PMID: 9354059 Document Number: 479242
A 46-year-old woman with a long-standing history of chronic progressive external ophthalmoplegia manifested a primary visual symptom of bilateral ptosis. Previous lid surgery was unsuccessful because of severe sight-threatening exposure keratitis. The patient's problem was managed by fabricating a spectacle-mounted combination ptosis crutch and moisture chamber. The custom device successfully provided both cosmetic and visual relief for the patient while maintaining corneal integrity. This case demonstrates the effectiveness of a dual-purpose appliance that offers a cosmetically viable alternative to ptosis patients who are high-risk surgical candidates because of potential corneal dehydration.