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睑成形术后失明:机制与早期逆转

Blindness after blepharoplasty: mechanism and early reversal.

作者信息

Heinze J B, Hueston J T

出版信息

Plast Reconstr Surg. 1978 Mar;61(3):347-54. doi: 10.1097/00006534-197803000-00007.

DOI:10.1097/00006534-197803000-00007
PMID:625498
Abstract

Based on our close personal observation of several patients after blepharoplasty who developed retrobulbar hemorrhage progressing to blindness, the mechanism appears to operate through ischemia of the anterior optic nerve head. Relief of this blindness has followed prompt surgical intervention, with supportive medical therapy. The importance of close nursing observation for some hours after the operation is stressed, as it may be the only means of detecting this complication while the sight can still be saved.

摘要

基于我们对几位接受眼睑成形术后出现球后出血并进展为失明的患者的密切个人观察,其机制似乎是通过对视神经乳头前部的缺血起作用。通过及时的手术干预并辅以支持性药物治疗,这种失明得以缓解。强调术后数小时进行密切护理观察的重要性,因为这可能是在视力仍可挽救时发现这种并发症的唯一方法。

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1
Blindness after blepharoplasty: mechanism and early reversal.睑成形术后失明:机制与早期逆转
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Temporary blindness after cosmetic blepharoplasty.美容性眼睑成形术后的暂时性失明
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引用本文的文献

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Clin Ophthalmol. 2019 Nov 7;13:2189-2194. doi: 10.2147/OPTH.S180058. eCollection 2019.
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Efficacy of transcutaneous transseptal orbital decompression in treating acute retrobulbar hemorrhage and a literature review.经皮经鼻中隔眼眶减压术治疗急性球后出血的疗效及文献综述
Craniomaxillofac Trauma Reconstr. 2014 Mar;7(1):17-26. doi: 10.1055/s-0033-1356754. Epub 2013 Nov 20.
3
Management of cosmetic eyelid surgery complications.
美容眼睑手术并发症的处理。
Semin Plast Surg. 2007 Feb;21(1):80-93. doi: 10.1055/s-2007-967753.
4
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.
5
An update on blepharoplasty.眼睑成形术的最新进展。
Aesthetic Plast Surg. 1983;7(1):1-11. doi: 10.1007/BF01570529.