Iyengar Nishanth S, Xie Edward, Pahk Patricia, Boyle Nariman S
Department of Ophthalmology, Stony Brook University Hospital, Stony Brook, NY, USA.
J Trauma Inj. 2025 Jun;38(2):147-151. doi: 10.20408/jti.2024.0070. Epub 2025 Apr 1.
A 60-year-old man presented with total avulsion of the right globe following a penetrating injury to the right orbit from a metal bicycle handlebar. There was no light perception in the right eye on presentation. External examination revealed a full-thickness, canalicular-involving, horizontal right upper eyelid laceration through which the luxated globe and other orbital contents extruded. The globe was intact. The patient underwent urgent surgical exploration. In the operating room the optic nerve and all extraocular muscles were found to be completely transected from the globe. The globe was enucleated, and the eyelid laceration was repaired with bicanalicular stent placement.
一名60岁男性因金属自行车车把穿透性损伤右眼眶,导致右眼球完全撕脱。就诊时右眼无光感。外部检查发现右上睑全层水平裂伤,累及泪小管,脱出的眼球及其他眶内容物由此裂伤处挤出。眼球完整。患者接受了紧急手术探查。在手术室中发现视神经和所有眼外肌均从眼球完全离断。遂行眼球摘除术,并放置双泪小管支架修复眼睑裂伤。