Kang Byoung Do, Jang Moo Hwan
Department of Ophthalmology, Dankook University Medical School & Hospital, Cheonan, Chungnam, Korea.
Korean J Ophthalmol. 2003 Dec;17(2):149-53. doi: 10.3341/kjo.2003.17.2.149.
Blowout fractures, fractures of an orbital wall, are a common result of orbital injury. The author has experienced a case of a 66-year-old man who sustained a blowout fracture of the orbital wall with his intact eyeball entrapped within the ethmoid sinus. After undergoing a successful reduction surgery, the eyeball was repositioned to its original position, but the patient lost extraocular motility as well as vision. The final visual acuity was perception of light as a result of traumatic optic nerve injury and secondary retinal ischemia.
爆裂性骨折,即眼眶壁骨折,是眼眶损伤的常见后果。作者曾经历过一例66岁男性患者,其眼眶壁发生爆裂性骨折,完整的眼球陷入筛窦。在成功进行复位手术后,眼球恢复到原来位置,但患者失去了眼球运动能力和视力。最终视力因外伤性视神经损伤和继发性视网膜缺血仅存光感。