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眼眶油脂枪伤：一例罕见病例报告。

Grease gun injury of the orbit: A rare case report.

作者信息

Chakraborti Chandana, Saha Ajoy Kumar

机构信息

Department of Ophthalmology, North Bengal Medical College, Darjeeling, West Bengal, India.

出版信息

Indian J Ophthalmol. 2020 Aug;68(8):1701-1703. doi: 10.4103/ijo.IJO_2281_19.

DOI:10.4103/ijo.IJO_2281_19
PMID:32709830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7640825/
Abstract

We report a case of intraconal grease gun injury along with traumatic optic neuropathy in a 20-year-old male. He presented with dimness of vision and proptosis of the left eye (LE) following an accidental injury at work place. The computer tomography of orbit revealed hypodense grease orbit. Cream colored grease was continually exuding from the conjunctival wound. Patient improved rapidly after the surgical removal of the grease by anterior orbitotomy. Grease gun injuries to the orbit have rarely been reported. The present case is the eighth report throughout the world, and the first in India as per our knowledge.

摘要

我们报告一例20岁男性的眶锥内注油枪伤合并外伤性视神经病变。他在工作场所意外受伤后出现视力模糊和左眼突出。眼眶计算机断层扫描显示眶内油脂密度减低。奶油色油脂持续从结膜伤口渗出。通过前路眼眶切开术手术清除油脂后，患者恢复迅速。眶内注油枪伤鲜有报道。据我们所知，本病例是全球第八例报告，也是印度首例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/7243227cba4f/IJO-68-1701-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/c69083e0518a/IJO-68-1701-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/b55f2c4f5637/IJO-68-1701-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/27f7b6d5c232/IJO-68-1701-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/edd4b5691133/IJO-68-1701-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/7243227cba4f/IJO-68-1701-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/c69083e0518a/IJO-68-1701-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/b55f2c4f5637/IJO-68-1701-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/27f7b6d5c232/IJO-68-1701-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/edd4b5691133/IJO-68-1701-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb74/7640825/7243227cba4f/IJO-68-1701-g005.jpg

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1
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2
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3
A sporadic case of orbital grease gun granuloma.1例散发性眼眶油枪肉芽肿。

本文引用的文献

1
Traumatic optic neuropathy accompanying orbital grease gun injury.伴有眼眶油枪伤的外伤性视神经病变。
Korean J Ophthalmol. 2010 Apr;24(2):134-8. doi: 10.3341/kjo.2010.24.2.134. Epub 2010 Apr 6.
2
Delayed presentation of grease-gun injury to the orbit.眼眶油枪伤的延迟就诊
Ophthalmic Plast Reconstr Surg. 2008 Mar-Apr;24(2):154-6. doi: 10.1097/IOP.0b013e3181659caf.
3
Intraconal grease-gun injury: a therapeutic dilemma.眶内油脂枪伤：一种治疗困境。
Oman J Ophthalmol. 2022 Nov 2;15(3):419-420. doi: 10.4103/ojo.ojo_150_21. eCollection 2022 Sep-Dec.
Ophthalmic Plast Reconstr Surg. 2005 Sep;21(5):393-5. doi: 10.1097/01.iop.0000175017.30029.f2.
4
CHRONIC GRANULOMA OF THE ORBIT CAUSED BY GREASE-GUN INJURY.油脂枪伤致眼眶慢性肉芽肿
Br J Ophthalmol. 1964 Mar;48(3):158-9. doi: 10.1136/bjo.48.3.158.
5
Grease gun injuries to the orbit and adnexa.眼眶及附件的油枪伤。
Ophthalmic Plast Reconstr Surg. 1994 Sep;10(3):211-5. doi: 10.1097/00002341-199409000-00013.
6
Grease-gun injury of the orbit: computed tomography and magnetic resonance imaging in diagnosis and treatment.眼眶油枪伤：计算机断层扫描和磁共振成像在诊断与治疗中的应用
Doc Ophthalmol. 1987 Nov;67(3):273-80. doi: 10.1007/BF00144281.