Patchett R B, Wilson W B, Ellis P P
Department of Ophthalmology, University of Colorado School of Medicine, Denver.
Br J Ophthalmol. 1988 May;72(5):377-9. doi: 10.1136/bjo.72.5.377.
Massive lid oedema, ecchymosis, proptosis with a total restriction of extraocular movement, markedly raised intraocular pressure, and occlusion of the central retinal artery developed acutely in the right eye of a 26-year-old woman with a past history of disseminated intravascular coagulation. She had been admitted to hospital for symptoms of abdominal pain and bleeding from multiple sites a few hours earlier. Five days previously she had some proptosis of the other eye and had been treated with antibiotics for suspected orbital cellulitis at another hospital. The oedema and proptosis resolved on high-dose intravenous corticosteroid therapy. Despite attempts to relieve the orbital oedema and raised intraocular pressure with a lateral canthotomy and antiglaucoma medications, the patient lost all perception of light in the right eye and has subsequently developed an optic nerve atrophy.
一名有弥散性血管内凝血病史的26岁女性，右眼急性出现大量眼睑水肿、瘀斑、眼球突出伴眼球运动完全受限、眼压显著升高以及视网膜中央动脉阻塞。数小时前，她因腹痛和多处出血症状入院。五天前，她的另一只眼睛出现了一些眼球突出，并在另一家医院因疑似眼眶蜂窝织炎接受了抗生素治疗。高剂量静脉注射皮质类固醇治疗后，水肿和眼球突出消退。尽管尝试通过外眦切开术和抗青光眼药物来减轻眼眶水肿和升高的眼压，但患者右眼完全丧失光感，随后出现了视神经萎缩。
