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完全性短暂性视力丧失与眼眶异物

Total transient visual loss and orbital foreign bodies.

作者信息

Stewart D J, Polomeno R C

出版信息

Can J Ophthalmol. 1979 Apr;14(2):95-8.

PMID:455133
Abstract

Two children recovered vision after penetrating injury of the orbit by wood had produced sudden blindness. Absent light perception demands urgent action as early visual loss does not necessarily indicate a poor prognosis. The depth and direction of penetration and size of wooden fragments is difficult to assess clinically and radiologically. Immediate and delayed neurological complications should always be anticipated. Removal of all fragments of wood is of paramount importance in restoring visual acuity. Prolonged visual loss with symptoms and signs of retained foreign body demands vigorous management.

摘要

两名儿童因眼眶被木头穿透伤导致突然失明后恢复了视力。无光感需要紧急处理,因为早期视力丧失不一定预示预后不良。临床上和放射学上很难评估木头碎片的穿透深度、方向和大小。应始终预见到即时和延迟的神经并发症。取出所有木头碎片对恢复视力至关重要。伴有异物存留症状和体征的长期视力丧失需要积极处理。

相似文献

1
Total transient visual loss and orbital foreign bodies.完全性短暂性视力丧失与眼眶异物
Can J Ophthalmol. 1979 Apr;14(2):95-8.
2
Retention of wooden foreign bodies in the orbit.眼眶内木质异物的留存
Can J Ophthalmol. 1980 Apr;15(2):70-2.
3
Orbital blast injury. A case report.眼眶爆炸伤。病例报告。
Can J Ophthalmol. 1973 Oct;8(4):597-600.
4
Case of penetrating orbitocranial injury caused by wood.木棍致穿透性眶颅损伤病例
Br J Ophthalmol. 1991 Jun;75(6):374-6. doi: 10.1136/bjo.75.6.374.
5
Penetrating transorbital foreign body with ocular preservation.穿透性眶内异物伴眼球保留
Ann Ophthalmol. 1975 May;7(5):651-4.
6
[A penetrating wound of the skull with injuries of the brain, orbit and ethmoidal labyrinth].[颅骨穿透伤伴脑、眼眶和筛迷路损伤]
Vestn Otorinolaringol. 1992 Mar-Apr(2):38-9.
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Management of orbital-sinus foreign bodies.眼眶-鼻窦异物的处理
J Craniomaxillofac Trauma. 1998 Fall;4(3):24-9.
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A wooden foreign body penetrating the superior orbital fissure.一个穿透眶上裂的木质异物。
Neurochirurgia (Stuttg). 1991 Nov;34(6):188-90. doi: 10.1055/s-2008-1053489.
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Management of penetrating medial and retro-bulbar orbital shrapnel/bullet injuries.穿透性内侧和球后眶壁弹片/子弹伤的处理。
J Craniomaxillofac Surg. 2012 Dec;40(8):e261-7. doi: 10.1016/j.jcms.2011.12.004. Epub 2012 Jan 30.
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Computed tomography in the management of orbital trauma.计算机断层扫描在眼眶创伤管理中的应用
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引用本文的文献

1
Penetrating orbital trauma by stiletto causing complex cranial neuropathies.高跟鞋导致的穿透性眼眶创伤引发复杂的颅神经病变。
Emerg Med J. 2006 Apr;23(4):e28. doi: 10.1136/emj.2005.029983.
2
Orbital haemorrhage and prolonged blindness: a treatable posterior optic neuropathy.眼眶出血与长期失明:一种可治疗的后部视神经病变。
Br J Ophthalmol. 1983 Aug;67(8):549-53. doi: 10.1136/bjo.67.8.549.