Heavy Eye Syndrome With Asymmetric Ocular Surface Disease: Over a Decade of Follow-Up.
Dry Eye in Heavy Eye Syndrome
DOI:
https://doi.org/10.62856/djcro.v11.90Keywords:
dry eye disease, heavy eye syndrome, high myopia, strabismus fixus, ocular surface diseaseAbstract
Heavy eye syndrome (HES) is a rare form of acquired strabismus associated with high axial myopia and mechanical displacement of the globe and extraocular muscles. We report a 23-year-old male with HES who presented with severe asymmetric dry eye symptoms predominantly affecting the more elongated eye. Magnetic resonance imaging demonstrated inferomedial globe displacement with characteristic superior rectus and lateral rectus muscle displacement. Schirmer test values and tear film break-up time were markedly reduced, particularly in the affected eye. The patient was managed conservatively with topical cyclosporine and preservative-free lubricants and was followed for 10 years. Despite persistent ocular misalignment, ocular surface findings and symptoms improved substantially during follow-up, while corneal tomography, macular optical coherence tomography, and specular microscopy findings remained stable. Although a coincidental coexistence cannot be excluded, this case suggests that mechanical alterations in HES may contribute to ocular surface instability and asymmetric dry eye disease.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
The Contributor assigns to Duke, during the full term of copyright and any extensions or renewals, all copyright in and to the Manuscript, and all rights therein, including but not limited to the right to publish, republish, transmit, sell, distribute and otherwise use the Manuscript in whole or in part in electronic editions of the DJCRO and in derivative works throughout the world, in all languages and in all media of expression now known or later developed, and to license or permit others to do so. "Manuscript" means the article submitted by the Contributor for publication in the DJCRO (including any embedded rich media) and all subsequent versions. The definition of Manuscript does not extend to any supporting information submitted with or referred to in the Manuscript ("Supporting Information"). To the extent that any Supporting Information is submitted to the DJCRO, Duke is granted a perpetual, non-exclusive license to publish, republish, transmit, sell, distribute and otherwise use this Supporting Information in whole or in part in electronic and print editions of the DJCRO and in derivative works throughout the world, in all languages and in all media of expression now known or later developed, and to license or permit others to do so. If the Manuscript was shared as a preprint, the Contributor grants to Duke exclusivity as to any rights retained by the Contributor in the preprint.
Reproduction, posting, transmission or other distribution or use of the final Manuscript in whole or in part in any medium by the Contributor as permitted by this Agreement requires a citation to the DJCRO suitable in form and content as follows: (Contributor(s), Title of Manuscript, Journal Title, Journal Volume, Copyright© [year], Digital Object Identifier [DOI] link to final Manuscript). Links to the final article on the DJCRO website are also encouraged where appropriate.
