Alam Md Shahid, Noronha Olma Veena, Mukherjee Bipasha
Department of Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Sankara Nethralaya, Chennai, Tamil Nadu, India.
Department of Radiology, VRR Scans, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2017 Aug;65(8):767-770. doi: 10.4103/ijo.IJO_221_17.
Traumatic globe dislocation into the maxillary sinus is a rare event and usually associated with a poor visual outcome if not managed appropriately. We report a 45-year-old female patient who presented to the emergency after blunt injury to her face with a door. Initial evaluation revealed nil perception of light and an apparently anophthalmic socket. Neuroimaging revealed large floor and medial wall fracture with dislocation of the globe into the maxillary sinus. The patient underwent exploration with repositioning of the globe and fracture repair. She was also administered 1 g intravenous methylprednisolone along with tapering course of oral steroids for 3 days. Patient's final visual acuity at 18 months of follow-up improved to counting fingers at 1 m. A thorough review of the literature suggests immediate surgery might improve the final visual outcome in such cases.
外伤性眼球脱入上颌窦是一种罕见的情况，如果处理不当通常会导致视力预后不良。我们报告一名45岁女性患者，她因门对脸部的钝器伤而到急诊就诊。初步评估显示无光感且眼窝明显无眼球。神经影像学检查显示眶底和内侧壁大骨折，眼球脱入上颌窦。患者接受了眼球复位和骨折修复的探查手术。她还接受了1克静脉注射甲基强的松龙以及为期3天的口服类固醇逐渐减量治疗。随访18个月时患者的最终视力提高到1米处数指。对文献的全面回顾表明，在此类病例中立即手术可能会改善最终视力预后。
