未经证实:鳄鱼眼泪综合征是一种罕见的自主神经运动综合征,患者因唾液刺激而过度撕裂。它通常发生在特发性或创伤性面神经麻痹后,由于来自第七或第九颅神经的唾液传出纤维对泪腺的异常神经支配。
未经授权:我们报告了一名54岁女性的病例,有左贝尔麻痹病史,谁参加了我们的眼科诊所,由于左眼的外溢而吃饭或说话,6个月。
未经证实:眼科评估显示,眼球额叶和左侧眼轮匝肌轻度减弱,无眼角。没有发现其他异常,即眼表肿胀,外翻,或泪道流出系统阻塞。当患者咀嚼时,左眼的Schirmer测试II从12mm增加到23mm。所有这些线索导致了鳄鱼眼泪综合征的诊断,并建议注射肉毒杆菌毒素A进行治疗。左泪腺睑叶注射6单位肉毒毒素A后1个月,患者报告投诉几乎完全解决,表现为Munk量表和Lac-Q分数的下降。注射后六个月,患者表示症状复发,并进行了新的治疗,结果相当.
未经证实:因为鳄鱼眼泪综合症很少见,提高眼科医生和其他医生对它的认识和知识至关重要。肉毒杆菌毒素是一种安全有效的治疗方式,显著改善这些患者的生活质量。
UNASSIGNED: Crocodile tears syndrome is a rare autonomic synkinesia, in which patients tear excessively in response to salivary stimuli. It usually occurs after idiopathic or traumatic facial palsy, as a result of aberrant reinnervation of the lacrimal gland by salivary efferent fibers from either the seventh or ninth cranial nerve.
UNASSIGNED: We report the
case of a 54-year-old woman, with a history of left Bell\'s palsy, who attended our ophthalmology clinic due to
epiphora of the left eye while eating or speaking, for 6 months.
UNASSIGNED: The ophthalmologic evaluation revealed a mild weakening of the frontal and left orbicularis oculi muscles without lagophthalmos. No other abnormalities were found, namely ocular surface swelling, ectropion, or obstruction of the lacrimal outflow system. Schirmer test II in the left eye increased from 12 to 23 mm while the patient was chewing. All these clues led to the diagnosis of crocodile tears syndrome and treatment with botulinum toxin A injection was proposed. One month after the injection of the palpebral lobe of the left lacrimal gland with 6 units of botulinum toxin A, the patient reported an almost complete resolution of the complaints, stated by a decrease in Munk scale and Lac-Q scores. Six months after injection, the patient conveyed recurrence of symptoms and a new treatment session was performed with comparable results.
UNASSIGNED: Since crocodile tears syndrome is rare, it is crucial to increase awareness and knowledge about it among ophthalmologists and other medical doctors. Botulinum toxin is a safe and effective treatment modality, dramatically improving these patients\' quality of life.