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  • Title: Combination ptosis crutch and moisture chamber for management of progressive external ophthalmoplegia.
    Author: Cohen JM, Waiss B.
    Journal: J Am Optom Assoc; 1997 Oct; 68(10):663-7. PubMed ID: 9354059.
    Abstract:
    BACKGROUND: 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. CASE REPORT: 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. CONCLUSIONS: 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.
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