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眼眶骨膜下血肿所致的可逆性视力丧失

Reversible visual loss in subperiosteal hematoma of the orbit.

作者信息

Gillum W N, Anderson R L

出版信息

Ophthalmic Surg. 1981 Mar;12(3):203-9.

PMID:7231876
Abstract

A 19-year-old white male developed blindness in the left eye following a motor vehicle accident. Orbital echography and computerized axial tomography established the diagnosis of subperiosteal hematoma of the orbit. Emergency medical therapy and lateral canthotomy resulted in slight visual improvement but rebleeding occurred 12 hours after injury with visual loss. An emergency surgical decompression of the orbit was performed. Vision returned to 6/7.5 following decompression. This is the first report illustrating that orbital decompression can reverse complete visual loss from a subperiosteal hematoma of the orbit.

摘要

一名19岁白人男性在机动车事故后左眼失明。眼眶超声检查和计算机断层扫描确诊为眼眶骨膜下血肿。紧急药物治疗和外眦切开术使视力略有改善,但受伤12小时后再次出血,视力丧失。遂进行了紧急眼眶减压手术。减压后视力恢复到6/7.5。这是第一份说明眼眶减压可逆转眼眶骨膜下血肿导致的完全视力丧失的报告。

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