Abdulmannan Dina M
College of Medicine, Umm Al-Qura University, Makkah, SAU.
Cureus. 2022 Jan 28;14(1):e21685. doi: 10.7759/cureus.21685. eCollection 2022 Jan.
A case of visual impairment following craniomaxillofacial trauma is reported. The patient had sudden visual loss associated with fracture of the left orbital floor and medial and lateral wall of the left orbit and comminuted fracture of the left optic canal. Access to the orbit was achieved through the endoscopic endonasal approach and the bone fragments, which had impinged on the optic nerve, were resected. The patient had a total return of visual acuity without surgical complications. The role of orbital and optic decompression in the management of patients with traumatic optic neuropathy is discussed. The indication of orbital and optic decompression in the management of patients with traumatic optic neuropathy is controversial and the procedure should be considered only within the context of the specific needs of the individual patient.
本文报告一例颅颌面创伤后视力损害的病例。患者因左侧眶底、左侧眶内外侧壁骨折及左侧视神经管粉碎性骨折而突然视力丧失。通过鼻内镜下经鼻入路进入眼眶，切除压迫视神经的骨碎片。患者视力完全恢复，无手术并发症。讨论了眼眶及视神经减压在创伤性视神经病变患者治疗中的作用。眼眶及视神经减压在创伤性视神经病变患者治疗中的适应证存在争议，该手术应仅根据个体患者的具体需求来考虑。
