眼球完全脱位进入上颌窦:罕见病例

N. T. Nguyen, V. Bien, N. M. Duong
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引用次数: 0

摘要

由于下壁的脆弱性,眶内容物在上颌窦内的爆裂性骨折是常见的,但完全的眼球突出是极其罕见和紧急的。处理这样的情况似乎是一个真正的挑战,任何眼科医生。我们在此报告一例31岁的女性,在一次道路交通事故后整个眼球从眼眶中消失。影像学显示球体完全突出进入上颌窦。患者接受手术以重新定位突出的眶内容物并重建眶壁。虽然患者的视力仍取决于各种因素,特别是创伤后神经节细胞的存活,因此无法恢复,但从美学效果上来说,结果是令人满意的。
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Complete dislocation of the eye globe into the maxillary sinus: a rare case
Blowout fracture with entrapped orbital contents within the maxillary sinus is common due to the fragility of the inferior wall, but complete herniation of the eye globe is extremely rare and emergent. Dealing with such a case appears to be a real challenge for any ophthalmologist. We herein present a case of a 31-year-old woman with the entire eyeball missing from the orbit following a road traffic accident. Imaging revealed a complete herniation of the globe into the maxillary sinus. The patient underwent surgery for repositioning the herniated orbital contents and reconstructing the orbital walls. The outcome was satisfactory in terms of aesthetic effect, although the patient’s vision could not be restored as it still depends on various factors, especially the survival of ganglion cells after trauma.
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Asian Journal of Ophthalmology
Asian Journal of Ophthalmology Medicine-Ophthalmology
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期刊介绍: Asian Journal of OPHTHALMOLOGY is the official peer-reviewed journal of the South East Asia Glaucoma Interest Group (SEAGIG) and is indexed in EMBASE/Excerpta Medica. Asian Journal of OPHTHALMOLOGY is published quarterly (four [4] issues per year) by Scientific Communications International Limited. The journal is published on-line only and is distributed free of cost via the SEAGIG website.
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