全地形车事故后眼球脱位和视神经撕脱
Globe dislocation and optic nerve avulsion following all-terrain vehicle accidents.
作者信息
Omari Amro, Carniciu Anaïs L, Desai Maya, Schimmel Olivia, Schlachter Dianne M, Folberg Robert, Kahana Alon
机构信息
Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.
Beaumont Eye Institute, Royal Oak, MI, USA.
出版信息
Am J Ophthalmol Case Rep. 2022 Jun 16;27:101621. doi: 10.1016/j.ajoc.2022.101621. eCollection 2022 Sep.
PURPOSE
Open-air motor vehicles present unique trauma risks to the eyes and face. We describe two patients who suffered a crash while riding an all-terrain vehicle (ATV), leading to globe dislocation with optic nerve avulsion in order to raise awareness about the risks associated with ATV accidents.
OBSERVATIONS
In both cases, the injury was caused by high-speed trauma to the orbit involving a tree branch. One patient sustained a life threatening arrythmia requiring a short stay in the intensive care unit, and both patients required emergent surgical management and eventual socket reconstruction.
CONCLUSIONS AND IMPORTANCE
These cases highlight the need for greater advocacy on behalf of rider safety. The authors encourage ophthalmologists to counsel patients who use ATVs to wear helmets, seatbelts, and protective eyewear to prevent these types of injuries in the future.
目的
露天机动车辆给眼睛和面部带来独特的创伤风险。我们描述了两名在骑乘全地形车（ATV）时发生车祸的患者，导致眼球脱位并伴有视神经撕脱，以提高对与ATV事故相关风险的认识。
观察结果
在这两起病例中，损伤均由涉及树枝的高速眼眶创伤所致。一名患者发生危及生命的心律失常，需要在重症监护病房短暂停留，两名患者均需要紧急手术治疗并最终进行眼窝重建。
结论与重要性
这些病例凸显了加大对骑手安全宣传力度的必要性。作者鼓励眼科医生向使用ATV的患者提供咨询，建议他们佩戴头盔、安全带和防护眼镜，以预防未来此类损伤的发生。
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