A Case of Iatrogenic Horner's Syndrome after Video-Thoracoscopic Surgery for Primary Pneumothorax.

Park, Byung Gun; Choi, Jae Won; Han, Il Yong; Yang, Jae Wook

doi:2012.53.1.157

J Korean Ophthalmol Soc > Volume 53(1); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(1):157-160.
DOI: https://doi.org/10.3341/jkos.2012.53.1.157 Published online January 15, 2012.

A Case of Iatrogenic Horner's Syndrome after Video-Thoracoscopic Surgery for Primary Pneumothorax.

Byung Gun Park, Jae Won Choi, Il Yong Han, Jae Wook Yang

¹Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. eyeyang@inje.ac.kr
²Department of Thoracic and Cardiovascular Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

일차성 기흉의 비디오 흉강경 수술 후 발생한 의인성 호르너 증후군 1예

박병건¹⋅최재원¹⋅한일용²⋅양재욱¹

Departments of Ophthalmology¹, Thoracic and Cardiovascular Surgery², Busan Paik Hospital, Inje University College of Medicine, Busan, Korea

Abstract

PURPOSE
To report a case of iatrogenic Horner's syndrome after video-thoracoscopic surgery for primary pneumothorax. CASE SUMMARY: An 18-year-old man with ptosis in the right eye was referred to our clinic. The patient had undergone wedge resection via video-thoracoscopic surgery for primary pneumothorax three weeks previously. On ocular examination, the palpebral fissure width was 7 mm in the right lid and 8 mm in the left lid, the marginal reflex distance 1 (MRD 1) was 2 mm in the right lid and 3 mm in the left lid, and the bilateral levator muscle function was good. Anisocoria was present, and pupil size in a dark room was 2.5 mm in the right eye and 4 mm in the left eye. The patient complained of facial anhidrosis on the right side of the face. CONCLUSIONS: Although iatrogenic Horner's syndrome is rare complication of video-thoracoscopic surgery for primary pneumothorax, diagnosis after surgery of the thoracic cavity should be made carefully.

Key Words: Horner's syndrome;Iatrogenic;Video thoracoscopic surgery