Cybulska-Heinrich A K, Todorova M G, Hasler P W
Department of Ophthalmology, University of Basel, Mittlere Str. 91, 4031, Basel, Schweiz.
Ophthalmologe. 2012 Jul;109(7):710-2. doi: 10.1007/s00347-012-2561-8.
The emergency consultation of a female patient revealed a left-sided prolapse of the eyeball with visual loss. The patient had fallen against an object hitting the left eye 40 min prior to the consultation. Motility of the eye was severely restricted and retinoscopy was impossible due to a corneal edema. The pupil was moderately dilated and non-reactive. The ocular pressure was 50 mmHg. Spontaneous repositioning was unsuccessful and an immediate lateral canthotomy was performed. The follow-up control showed that the patient had recovered good visual acuity with a reduction of intraocular pressure and pain. The latest findings were uneventful.
一名女性患者的急诊会诊显示眼球左侧脱垂并伴有视力丧失。患者在会诊前40分钟撞到物体，致使左眼受伤。由于角膜水肿，眼球活动严重受限，无法进行检眼镜检查。瞳孔中度散大且无反应。眼压为50毫米汞柱。自发复位未成功，遂立即进行了外侧眦切开术。随访检查显示，患者视力恢复良好，眼压降低，疼痛减轻。最新检查结果正常。
