一例使用3,4-亚甲基二氧甲基苯丙胺后自发性自行消退的球后出血病例。

A Case of a Spontaneous Self-resolving Retrobulbar Hemorrhage Following 3,4-Methylenedioxy-methamphetamine Use.

作者信息

Chervenkoff Jordan V, Rajak Saul N, Selva Dinesh, Davis Garry

机构信息

*Cumberland Infirmary, Carlisle, United Kingdom; †Sussex Eye Hospital, Brighton, United Kingdom; and ‡Royal Adelaide Hospital, Adelaide, South Australia, Australia.

出版信息

Ophthalmic Plast Reconstr Surg. 2017 Jul/Aug;33(4):e100-e101. doi: 10.1097/IOP.0000000000000810.

DOI:10.1097/IOP.0000000000000810

PMID:27768646

Abstract

This case report discusses the case of a 23-year-old male patient who experienced retrobulbar pain, diplopia, proptosis, and mild lower eyelid bruising after consuming 3,4-methylenedioxy-methamphetamine. The symptoms settled over 10 days and vision returned to normal without intervention. The authors discuss the differential diagnosis relevant to the presenting complaints and propose several mechanisms linking 3,4-methylenedioxy-methamphetamine use to spontaneous nontraumatic intraorbital hematoma.

摘要

本病例报告讨论了一名23岁男性患者的病例，该患者在服用3,4-亚甲基二氧基甲基苯丙胺后出现球后疼痛、复视、眼球突出和轻度下睑瘀伤。症状在10天内缓解，视力在未进行干预的情况下恢复正常。作者讨论了与所呈现症状相关的鉴别诊断，并提出了几种将使用3,4-亚甲基二氧基甲基苯丙胺与自发性非创伤性眶内血肿联系起来的机制。