Castro E, Seeley M, Kosmorsky G, Foster J A
Department of Ophthalmic Plastic and Reconstructive Surgery, Cole Eye Institute, the Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Am J Ophthalmol. 2000 Sep;130(3):376-8. doi: 10.1016/s0002-9394(00)00557-2.
To present an unusual case of orbital compartment syndrome after endoscopic sinus surgery.
Case report.
Acute proptosis, chemosis, decreased vision, and ophthalmoplegia were found immediately after endoscopic sinus surgery. Ophthalmologic evaluation showed a tense orbit, and intraocular pressure increased to 54 mm Hg. Treatment was initiated and the intraocular pressure dropped. Computed tomography (CT) revealed the presence of bacitracin ointment in the orbit.
Ophthalmic complications after sinus surgery are well identified. Postoperative orbital compartment syndrome may be caused by retrobulbar hemorrhage, edema, air (emphysema), or foreign material. In this case, the findings were caused by inadvertent injection of bacitracin ointment into the orbit.
介绍一例内镜鼻窦手术后发生眼眶间隔综合征的罕见病例。
病例报告。
内镜鼻窦手术后立即出现急性眼球突出、球结膜水肿、视力下降和眼球运动障碍。眼科检查显示眼眶紧张，眼压升至54毫米汞柱。开始治疗后眼压下降。计算机断层扫描（CT）显示眼眶内存在杆菌肽眼膏。
鼻窦手术后的眼部并发症已得到充分认识。术后眼眶间隔综合征可能由球后出血、水肿、空气（气肿）或异物引起。在本病例中，这些发现是由于无意中将杆菌肽眼膏注入眼眶所致。
