Kosaki Yoshinori, Yumoto Tetsuya, Naito Hiromichi, Tsuboi Nobushige, Kameda Masahiro, Hirano Masayuki, Morizane Yuki, Senoo Takaya, Tokuyama Eijirou, Nakao Atsunori
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital, Okayama 700-8558, Japan.
Acta Med Okayama. 2018 Feb;72(1):85-88. doi: 10.18926/AMO/55669.
Traumatic eyeball luxation is a rare clinical condition with a dramatic presentation. Here, we describe a unique case of traumatic globe luxation and complete optic nerve transection caused by heavy object compression. A 45-year-old male automobile mechanic was injured when a truck slipped from its supports, crushing his head and face. On arrival, his right eyeball was obviously displaced anteriorly and he had no light perception. Computed tomography revealed complex frontal bone and facial fractures with underlying brain contusion in addition to complete transection of the right optic nerve. The patient was successfully treated using a multidisciplinary approach.
创伤性眼球脱出是一种临床罕见且表现显著的病症。在此，我们描述一例因重物挤压导致的独特创伤性眼球脱出及视神经完全横断病例。一名45岁男性汽车修理工在一辆卡车从支架滑落砸中他的头部和面部时受伤。送达时，他的右眼眼球明显向前移位且无光感。计算机断层扫描显示除右侧视神经完全横断外，还存在复杂的额骨和面部骨折并伴有脑挫伤。该患者采用多学科方法成功得到治疗。
