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Horner syndrome is a medical consideration in which there is a job of sympathetic face fibers which causes a reduction in the function of the sympathetic nervous system in the eye and face . It sometimes can also involve cervix region due to similar territory overlap . There is no known specific treatment for this experimental condition and only the handling of the implicit in cause can be helpful that too even before the harm to the nerve fibers has become permanent . Here few are the coping method told for each of the symptoms of horner syndrome so as to ameliorate the quality of life .
Coping Methods For Horner’s Syndrome
Ptosisis the most common symptom run into in the horner syndrome which usually is present on one side of the eye . It occur due to that of the Muller muscle in the eye which is supplied by the large-hearted system and is responsible for upper eyelid elevation up to the extent of 1 – 2 curium . So , after the personnel casualty of part of this muscle , it is associated with meek ptosis of less than 4 atomic number 96 on the affected eye . To relieve the patient of symptom of ptosis , a specific surgical process is done known as fasanella servat operation . In this surgery , the Muller heftiness is excised at its grim end and along with it the upper border of tarsus , associated overlying conjunctiva is also unclothe . This is done to shorten the upper lid with a few centimetre margins and in conclusion , the ptosis gets corrected permanently because it is an irreversible subprogram .
Miosis is another symptom of horner ’s syndrome which deteriorate the tone of life sentence by affecting the accommodation power of the middle . aesculapian discussion is given in the bod of phenylephrine optic free fall which not only help to forestall light reflex but also can keep the pupil ’s size adjusting to the spark for some fourth dimension . These are a cholinergic mathematical group of drugs that have the effect of mydriasis in the oculus . Multiple dosings in a day can be sacrifice to give relief from the symptom .
Heterochromia iridis is another symptom of horner syndrome which is characterise by a modification in the color of iris which is also given by the sympathetic nerve pathway supplying to the eye . The color of the affected centre is decreased in grain and it becomes different from the normal eye . so as to amount to this dissimilarity , colored contact lenses can be used on the cornea which provides a similar colouring material to both the eyes.(1)It is the only method by which the symptom of heterochromia can be treat . Although , there is research ongoing on the laser treatment for this symptom not much data point is available on its winner .
Apparent enophthalmos is also see in this status but it is only an apparent defect that just looks like present to the affected role when it is not . In reality , there are no enophthalmos present in the horner syndrome . Anhidrosis run into in the horner ’s syndrome can not be treated but it can be scale down with the help of preserve the tegument moist by moisturizer , fossil oil jelly , etc . red of ciliospinal reflex is another symptom that can not be treated once fall behind .
Conclusion
Horner syndrome is a permanent condition that can not be reversed either medically or surgically by any means because the nervous tissue paper is a unchanging tissue . If it gets damage once then it can not be regenerate and the function of the tissue paper is lost constantly . Only the diagnostic treatment can be given according to the presenting symptoms as well as the severity of them . Coping methods are taught to the patient so as to populate with the horner ’s syndrome for whole life with it . Psychological reinforcement and counsel are very important from time to metre to permit the patient not pass into the state of economic crisis because of the constant deterioration of the quality of life .
Some operative and medical treatment can also be prescribed to concentrate the severity of the term .
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