Abrishami Mohammad, Aletaha Maryam, Bagheri Abbas, Salour Soltan Hossein, Yazdani Shahin
Department of Ophthalmology, Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Ophthalmic Plast Reconstr Surg. 2007 Mar-Apr;23(2):156-8. doi: 10.1097/IOP.0b013e31802f2470.
Fractures of the orbit most commonly involve the orbital floor, and enophthalmos is a common sign of orbital fractures. Complete globe dislocation in the maxillary sinus, however, has rarely been reported. Herein we report on an 18-year-old man referred to us 1 week following a car accident. At presentation, the globe was not seen within the right orbit. CT revealed a large orbital floor fracture with globe dislocation in the right maxillary sinus. The patient underwent repair of the fracture using a Medpor implant together with repositioning of the globe. Preoperative vision was no light perception, which remained unchanged during follow-up.
眼眶骨折最常累及眶底，眼球内陷是眼眶骨折的常见体征。然而，眼球完全脱位于上颌窦的情况鲜有报道。在此，我们报告一名18岁男性，在车祸后1周转诊至我院。就诊时，右侧眼眶内未见眼球。CT显示右侧眶底巨大骨折，眼球脱位于右侧上颌窦。患者接受了使用Medpor植入物修复骨折并复位眼球的手术。术前视力无光感，随访期间无变化。
