Ballard Steven Roy, Enzenauer Robert W, O'Donnell Thomas, Fleming James C, Risk Gregory, Waite Aaron N
J Spec Oper Med. 2009 Summer;9(3):26-32. doi: 10.55460/1CLD-XJUV.
Retrobulbar hemorrhage is an uncommon, but potentially devastating complication associated with facial trauma. It can rapidly fill the orbit and cause an "orbital compartment syndrome" that subsequently cuts off perfusion to vital ocular structures, leading to permanent visual loss. Treatment must be initiated within a limited time in order to prevent these effects; however, specialty consultation is not always available in remote field environments. This article addresses the mechanism, diagnosis, and treatment ofretrobulbar hemorrhage via lateral canthotomy and cantholysis, and recommends that 18D medical sergeants be properly trained to evaluate and perform this sight-saving procedure in emergent settings where upper echelons of care are not immediately available.
球后出血是一种与面部创伤相关的罕见但可能具有毁灭性的并发症。它可迅速充满眼眶并导致“眼眶间隔综合征”，进而切断对重要眼部结构的灌注，导致永久性视力丧失。必须在有限时间内开始治疗以预防这些后果；然而，在偏远地区环境中并不总是能获得专科会诊。本文探讨了通过外眦切开术和眦松解术治疗球后出血的机制、诊断和治疗方法，并建议对18D医疗中士进行适当培训，以便在无法立即获得高级护理的紧急情况下评估并实施这种挽救视力的手术。
