Meyer D R, Nerad J A, Newman N J, Lin J C
Division of Oculoplastic and Orbital Surgery, Lions Eye Institute, Albany, NY, USA.
Arch Ophthalmol. 1996 Oct;114(10):1206-9. doi: 10.1001/archopht.1996.01100140406007.
Progressive bilateral enophthalmos in the absence of previous trauma is rare.
Three patients with progressive bilateral severe enophthalmos whose only significant medical history was that of congenital hydrocephalus were treated by ventriculoperitoneal shunt placement.
The patients demonstrated severe bilateral enophthalmos with poor eyelid apposition to the globes resulting in superficial keratopathy. Orbital computed tomographic scans confirmed the severe enophthalmos, with apparent reduced orbital fat volume. Orbital bony anatomy appeared normal.
Bilateral progressive enophthalmos may be associated with hydrocephalus and ventriculoperitoneal shunting. The causal mechanism remains speculative.
在没有既往创伤的情况下，进行性双侧眼球内陷很少见。
三名患有进行性双侧严重眼球内陷的患者，其唯一重要的病史是先天性脑积水，接受了脑室腹腔分流术。
患者表现为双侧严重眼球内陷，眼睑与眼球贴合不良，导致浅层角膜病变。眼眶计算机断层扫描证实存在严重眼球内陷，眼眶脂肪体积明显减少。眼眶骨质结构看起来正常。
双侧进行性眼球内陷可能与脑积水和脑室腹腔分流有关。其因果机制仍属推测。
