Miller Kyle E, Coan Erin B
Department of Ophthalmology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708.
Department of Ophthalmology, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889.
Mil Med. 2016 Aug;181(8):e962-4. doi: 10.7205/MILMED-D-15-00449.
Orbital penetrating injuries are an unfortunately common occurrence; however, those from marine animals are rare. Injuries from marine animals can be quite profound and there are no known reports of complete visual recovery after an orbital penetrating injury. Complications range from secondary infection to a carotid-cavernous fistula, which can complicate the management of these patients. We report a case of penetrating orbital injury from a needlefish with complete return of visual function after surgical removal of foreign debris and an extended course of antibiotics.
眼眶穿透伤是一种不幸常见的情况;然而,来自海洋动物造成的此类损伤却很罕见。海洋动物造成的损伤可能相当严重,而且尚无已知报告表明眼眶穿透伤后视力能完全恢复。并发症范围从继发感染到颈内动脉海绵窦瘘,这会使这些患者的治疗变得复杂。我们报告一例由颌针鱼造成的眼眶穿透伤病例,在手术清除异物碎片并进行延长疗程的抗生素治疗后,视力功能完全恢复。