Landa M S, Landa E H, Levine M R
Division of Ophthalmology, Mt. Sinai Medical Center, Cleveland, Ohio 44106-4198, USA.
Ophthalmic Plast Reconstr Surg. 1998 May;14(3):189-92. doi: 10.1097/00002341-199805000-00008.
A 14-year-old boy was referred with complaints of decreased vision, pain, and diplopia that developed in his right eye after trauma. Radiologic studies showed an orbital roof fracture with an associated subperiosteal hematoma. Orbital exploration with surgical drainage of the hematoma and roof fracture repair was performed. Postoperatively, he experienced complete visual recovery with resolution of his proptosis and diplopia. Subperiosteal hematomas of the orbit should be considered in the differential diagnosis of acute unilateral proptosis after trauma. The authors suggest that early intervention results in rapid patient recovery.
一名14岁男孩因右眼外伤后出现视力下降、疼痛和复视而前来就诊。影像学检查显示眶顶骨折并伴有骨膜下血肿。进行了眼眶探查，对血肿进行手术引流并修复眶顶骨折。术后，他的视力完全恢复，眼球突出和复视症状也消失了。眼眶骨膜下血肿应纳入外伤后急性单侧眼球突出的鉴别诊断中。作者认为早期干预可使患者迅速康复。
