Tse D T
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Fla 33136, USA.
Arch Ophthalmol. 2000 Mar;118(3):410-1. doi: 10.1001/archopht.118.3.410.
In patients with thyroid orbitopathy, severe lid retraction and proptosis may produce spontaneous axial globe subluxation. This acute event is characterized by anterior displacement of the globe beyond the orbital rim, retraction of both upper and lower eyelids behind the globe, and tethering of the optic nerve. This frightening occurrence causes severe pain because of exposure keratopathy and forward displacement of the globe, as the retracted eyelids are squeezing the retrobulbar tissues. Spontaneous globe subluxation frequently occurs at home or at work, and patients experiencing this for the first time often panic because they have never been forewarned of this possibility nor received any instruction on how to attend to such an emergency. The lack of concise patient instruction for a quick and safe method of self-administered globe reposition is the main impetus for the design of current technique.
在甲状腺眼病患者中，严重的眼睑退缩和眼球突出可能导致自发性轴性眼球半脱位。这种急性事件的特征是眼球向前移位超过眶缘，上下眼睑在眼球后方退缩，以及视神经受牵拉。这种可怕的情况会因暴露性角膜病变和眼球向前移位而导致剧痛，因为退缩的眼睑会挤压球后组织。自发性眼球半脱位常发生在家中或工作场所，首次经历这种情况的患者往往会惊慌失措，因为他们从未被告知有这种可能性，也没有得到任何应对此类紧急情况的指导。缺乏关于快速安全的自我复位眼球方法的简洁患者指导是当前技术设计的主要推动力。
