Kim Jeong-Mo
Department of Oral and Maxillofacial Surgery, Kangwon National University Hospital, Chuncheon, Korea.
Maxillofac Plast Reconstr Surg. 2021 Feb 24;43(1):8. doi: 10.1186/s40902-021-00289-4.
Retrobulbar hematoma is a rare complication after the repair of an orbital wall fracture, but the caution is required because the condition can cause blindness.
In this article, 3 cases of retrobulbar hematoma after the surgical repair of an orbital wall fracture are reported. In the first patient, the permanent loss of vision was involved, while in the second patient, the author was able to prevent loss of vision by performing immediate decompression after definite diagnosis and consulting with an ophthalmologist. In the third patient, there was no surgical treatment involved; he recovered on his own without major sequelae.
Retrobulbar hematoma is a very serious condition that can result in blindness. Thus, when it is recognized, every effort should be made to preserve the patient's vision and prevent blindness.
球后血肿是眶壁骨折修复术后一种罕见的并发症，但因其可导致失明，故需谨慎对待。
本文报告了3例眶壁骨折手术修复后发生球后血肿的病例。第一例患者出现了永久性视力丧失，而第二例患者，作者在明确诊断后立即进行减压并咨询眼科医生，成功预防了视力丧失。第三例患者未接受手术治疗，自行康复且无严重后遗症。
球后血肿是一种非常严重的疾病，可导致失明。因此，一旦确诊，应尽一切努力保护患者视力，预防失明。
