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自行车车把致眼眶穿透伤继发外伤性眼球撕脱:一例报告

Traumatic globe avulsion secondary to a penetrating orbital injury from a bicycle handlebar: a case report.

作者信息

Iyengar Nishanth S, Xie Edward, Pahk Patricia, Boyle Nariman S

机构信息

Department of Ophthalmology, Stony Brook University Hospital, Stony Brook, NY, USA.

出版信息

J Trauma Inj. 2025 Jun;38(2):147-151. doi: 10.20408/jti.2024.0070. Epub 2025 Apr 1.

DOI:10.20408/jti.2024.0070
PMID:40174900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12229811/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/4d6697ec6965/jti-2024-0070f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/78add325b7cf/jti-2024-0070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/8b1425c68ecb/jti-2024-0070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/4d6697ec6965/jti-2024-0070f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/78add325b7cf/jti-2024-0070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/8b1425c68ecb/jti-2024-0070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f3f/12229811/4d6697ec6965/jti-2024-0070f3.jpg

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本文引用的文献

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Traumatic Globe Luxation and Optic Nerve Avulsion: A Case Report and Literature Review.外伤性眼球脱位与视神经撕脱:一例报告及文献综述
Cureus. 2024 Jan 29;16(1):e53150. doi: 10.7759/cureus.53150. eCollection 2024 Jan.
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Globe dislocation and optic nerve avulsion following all-terrain vehicle accidents.全地形车事故后眼球脱位和视神经撕脱
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Am Fam Physician. 2020 Nov 1;102(9):539-545.
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A rare case of pre-hospital globe enucleation after a penetrating injury to the orbit during an assault: A case report and literature review.一例袭击中眼眶穿透伤后院前眼球摘除的罕见病例:病例报告及文献综述
Int J Surg Case Rep. 2020;75:231-234. doi: 10.1016/j.ijscr.2020.09.087. Epub 2020 Sep 15.
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