Kotlus Brett S, Lo Mikel W
Arizona Centre Plastic Surgery, Tucson, Arizona, USA.
Ophthalmic Plast Reconstr Surg. 2007 Sep-Oct;23(5):425-7. doi: 10.1097/IOP.0b013e31814e0527.
A 31-year-old intoxicated woman self-enucleated her left eye during an acute psychotic episode. CT revealed avulsion of the intracranial optic nerve, chiasmal edema, and adjacent subarachnoid hemorrhage. Exploration via transconjunctival orbitotomy was performed, and the globe and 4.8 cm of contiguous optic nerve were removed. The patient developed postoperative contralateral visual loss followed by middle cerebral artery vasospasm and bilateral cortical infarcts.
一名31岁的醉酒女性在急性精神病发作期间自行摘除了左眼。CT显示颅内视神经撕脱、视交叉水肿和相邻的蛛网膜下腔出血。通过经结膜眶切开术进行探查，摘除了眼球和4.8厘米相连的视神经。患者术后出现对侧视力丧失，随后发生大脑中动脉血管痉挛和双侧皮质梗死。
