Department of Otolaryngology Head and Neck Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, Shandong Province, China.
Department of Ophthalmology, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, Shandong Province, China.
Ear Nose Throat J. 2023 Aug;102(8):NP379-NP382. doi: 10.1177/01455613211016731. Epub 2021 May 12.
Central retinal artery occlusion (CRAO) is an ophthalmic emergency and has poor visual prognosis. It is commonly found in elderly people and very rare in child. We reported an 8-year-old girl who suffered from acute sinusitis, periorbital swelling, and the visual acuity of her right eye was only light perception. She was diagnosed with CRAO, SPOA (subperiosteal orbital abscess), and acute sinusitis. Emergency treatments including surgery, antibiotics, glucocorticoids, intraocular-pressure-lowering drugs, and vasodilators were taken immediately in order to save the eyesight. The visual acuity of the right eye returned to 20/400. Conclusions: Severe intraorbital complications of acute sinusitis can lead to CRAO. Timely drainage, strong antibiotics, and glucocorticoids are the most effective methods for the treatments.
视网膜中央动脉阻塞（CRAO）是一种眼科急症，预后较差。它常见于老年人，而在儿童中非常罕见。我们报告了一例 8 岁女孩，她患有急性鼻窦炎，眶周肿胀，右眼视力仅为光感。她被诊断为 CRAO、SPOA（骨膜下眶脓肿）和急性鼻窦炎。为了挽救视力，立即采取了紧急治疗，包括手术、抗生素、糖皮质激素、降眼压药物和血管扩张剂。右眼视力恢复至 20/400。结论：急性鼻窦炎的严重眶内并发症可导致 CRAO。及时引流、强有力的抗生素和糖皮质激素是治疗的最有效方法。
