Nitta Keisuke, Kashima Tomoyuki, Miura Fumihide, Hiroe Takashi, Akiyama Hideo, Kishi Shoji
*Department of Ophthalmology, Gunma University School of Medicine, Maebashi, Gunma, Japan; and †Department of Ophthalmology, Saku Central Hospital, Saku, Japan.
Ophthalmic Plast Reconstr Surg. 2016 Sep-Oct;32(5):e121-3. doi: 10.1097/IOP.0000000000000298.
Rupture of the extraocular muscle in the absence of significant injury to the eyeball and adnexa is uncommon. The authors report a case of blunt trauma of the eyeball associated with an inferior oblique muscle and an inferior rectus muscle rupture. A 55-year-old man slipped and fell down hitting his eye on an extended windshield wiper blade. Although he had treatment in the emergency room, he complained of diplopia in the primary position 1 day postoperatively. After noticing ruptures of the inferior oblique muscle and an inferior rectus muscle during exploratory surgery, the authors carefully repaired it. Diplopia in the primary position had disappeared within 1 month after the operation and by 6 months postoperatively. The movement of the eye had almost completely recovered.
在眼球和附属器无明显损伤的情况下眼外肌断裂并不常见。作者报告了一例眼球钝挫伤合并下斜肌和下直肌断裂的病例。一名55岁男性滑倒，眼睛撞到伸出的挡风玻璃刮水器叶片上。尽管他在急诊室接受了治疗，但术后1天他主诉在第一眼位时有复视。在探查手术中发现下斜肌和下直肌断裂后，作者仔细进行了修复。术后1个月内第一眼位的复视消失，术后6个月时眼动几乎完全恢复。
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