Iannucci Valeria, Manni Priscilla, Alisi Ludovico, Mecarelli Giulia, Lambiase Alessandro, Bruscolini Alice
Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy.
Life (Basel). 2023 Aug 27;13(9):1814. doi: 10.3390/life13091814.
Ocular trauma affects millions of people worldwide and is a leading cause of secondary glaucoma. Angle recession is the main cause of post-traumatic glaucoma after blunt eye trauma, and it is usually unilateral. The aim of this paper is to investigate the possible causes of angle recession with a bilateral presentation. Airbag activation during traffic accidents is a likely cause to be ruled out, along with repeated head or eye trauma, due to contact sports or a history of physical abuse. These aspects can aid in early detection, appropriate management, and improved outcomes for patients with ocular trauma. Finally, we report the case of a 75-year-old Caucasian man who developed a bilateral angle recession after an airbag impact, with advanced glaucoma in the right eye and ocular hypertension in the left eye. To our knowledge, this is the first case in the literature of chronic post-traumatic glaucoma probably caused by an airbag.
眼外伤影响着全球数百万人,是继发性青光眼的主要病因。房角后退是钝性眼外伤后创伤性青光眼的主要原因,且通常为单侧性。本文旨在探讨双侧性房角后退的可能病因。交通事故中安全气囊的启动很可能是一个需要排除的原因,同时还有因接触性运动或身体虐待史导致的反复头部或眼部创伤。这些方面有助于眼外伤患者的早期检测、恰当治疗及改善预后。最后,我们报告了一例75岁白种男性的病例,该患者在安全气囊撞击后出现双侧房角后退,右眼患有晚期青光眼,左眼患有高眼压症。据我们所知,这是文献中首例可能由安全气囊导致的慢性创伤性青光眼病例。