高压氧治疗继发于孔源性视网膜脱离修复术后的眼眶气肿
Management of orbital emphysema secondary to rhegmatogenous retinal detachment repair with hyperbaric oxygen therapy.
作者信息
Iniesta-Sanchez Dante L, Romero-Caballero Fatima, Aguirre-Alvarado Adriana, Rebollo-Hurtado Victoria, Velez-Montoya Raul
机构信息
Ophthalmology Department, Hospital Central Militar, Army and Air Force University, México DF, Mexico.
Critic Care Unit, Hospital Central Militar, Army and Air Force University, México DF, Mexico.
出版信息
Am J Ophthalmol Case Rep. 2016 Mar 19;1:26-30. doi: 10.1016/j.ajoc.2016.03.002. eCollection 2016 Apr.
PURPOSE
To describe the case of orbital subcutaneous emphysema who was successfully treated with hyperbaric oxygen therapy.
OBSERVATIONS
Case report. Retrospective analysis of medical records and computer tomography images. A 40 years-old female, with retinal detachment who was seen at the emergency department, two weeks after undergoing a combined procedure of pars plana vitrectomy, scleral buckle and Sulfur hexafluoride tamponade. The patient complained of pain, decrease eye movement and edema of the upper eyelid. Clinical examination revealed periorbital crepitus. She was treated immediately with soft tissue decompression with small-gauge needle. Orbital emphysema recurred quickly, indicating possible gas trapped in the soft tissue. Using the US NAVY decompression protocol we were able to achieve fast clinical improvement. The protocol was repeated in several occasions until complete resolution.
CONCLUSION AND IMPORTANCE
Hyperbaric oxygen therapy is an effective treatment for orbital and periorbital emphysema, due to its property of helping accelerate N elimination from adipose tissue.
目的
描述1例采用高压氧疗法成功治疗的眼眶皮下气肿病例。
观察
病例报告。对病历和计算机断层扫描图像进行回顾性分析。一名40岁女性，在接受玻璃体切除术、巩膜扣带术和六氟化硫填塞联合手术后两周，因视网膜脱离到急诊科就诊。患者主诉疼痛、眼球活动减少和上睑水肿。临床检查发现眶周捻发音。立即用小口径针头进行软组织减压治疗。眼眶气肿很快复发，提示可能有气体被困在软组织中。采用美国海军减压方案，我们实现了快速的临床改善。该方案重复了几次，直至完全消退。
结论及重要性
高压氧疗法是治疗眼眶和眶周气肿的有效方法，因为它有助于加速脂肪组织中氮气的消除。
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