Lee Da Woon, Kim Tae Hyung, Choi Hwan Jun, Wee Syeo Young
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Gumi, Korea.
Arch Craniofac Surg. 2021 Apr;22(2):110-114. doi: 10.7181/acfs.2021.00052. Epub 2021 Apr 20.
Retrobulbar hemorrhage is a disastrous condition that can lead to permanent blindness. As such, rapid diagnosis and treatment are critical. Here, we report a patient who presented with retrobulbar hemorrhage following an orbital floor fracture. Restoration of inferior orbital wall with porous polyethylene implant was underwent. Four days after the orbital floor reconstruction, the patient smoked a cigarette outdoors in -3˚C weather. Cold temperature and smoking caused an increase in his systemic blood pressure. The elevated blood pressure increased intraorbital pressure to the extent of causing central retinal artery occlusion and exacerbated oozing. During exploratory surgery, 3 mL of hematoma and diffuse oozing without arterial bleeding were observed. Prompt diagnosis and treatment prevented vision impairment. Few studies have reported on the risk factors for retrobulbar hemorrhage. This case showed that daily activities, such as exposure to cold weather or tobacco smoking, could be risk factors for retrobulbar hemorrhage.
球后出血是一种灾难性疾病，可导致永久性失明。因此，快速诊断和治疗至关重要。在此，我们报告一名患者，其在眶底骨折后出现球后出血。采用多孔聚乙烯植入物对眶下壁进行了修复。眶底重建术后四天，患者在零下3摄氏度的天气下在户外吸烟。寒冷的温度和吸烟导致其全身血压升高。血压升高使眶内压升高，导致视网膜中央动脉阻塞，并加剧了渗血。在探查手术中，观察到3毫升血肿和弥漫性渗血，但无动脉出血。及时的诊断和治疗预防了视力损害。很少有研究报道球后出血的危险因素。该病例表明，日常活动，如暴露于寒冷天气或吸烟，可能是球后出血的危险因素。
