Rochels R, Rudert H
Klinik für Ophthalmologie, Christian-Albrechts-Universität zu Kiel.
Laryngorhinootologie. 1995 May;74(5):325-7. doi: 10.1055/s-2007-997749.
Midfacial injuries, surgery of the orbit or the paranasal sinuses as well as retrobulbar anesthesia can be the cause of a traumatic laceration of the ophthalmic artery and/or its branches prompting an extensive orbital hemorrhage with consecutive blindness. Since the neurosensory retina does not tolerate an ischemia of more than 1-3 hours, therapy has to be emergent: an extensive lateral horizontal canthotomy and vertical cantholysis, and if the hypertony of the globe persists, splitting of the periorbita in the temporal lower lid region are mandatory. The surgical details are presented.
面中部损伤、眼眶或鼻窦手术以及球后麻醉可能导致眼动脉及其分支的外伤性撕裂，引发广泛的眼眶出血并继而导致失明。由于神经感觉视网膜无法耐受超过1 - 3小时的缺血，治疗必须紧急进行：广泛的外侧水平眦切开术和垂直眦松解术，如果眼球高眼压持续存在，在颞下睑区域切开眶周组织是必要的。文中介绍了手术细节。
