在被山羊角伤害后,双眼外肌肉脱落
Bhavika Bansal1, Shailja Tibrewal1, Soveeta Rath1
1Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Shroff's Charity Eye Hospital, New Delhi, India.
Strabismus
|January 28, 2025
概括
一种罕见的山羊角损伤导致了上直肠 (SR) 和上斜 (SO) 外眼肌的同时突破. 手术修复改善了对齐,双眼视也可以用镜进行管理.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
背景情况:
- 眼外肌肉创伤没有球孔是不常见的.
- 对多个眼外肌肉的同时损伤带来了独特的临床挑战.
研究的目的:
- 报告一例罕见的同时发生的上直肠和上斜肌流动,原因是的轨道创伤.
- 描述这种损伤的临床表现,手术修复和结果.
主要方法:
- 一个36岁的男性的案例回顾,他的左眼受到了山羊角的创伤.
- 临床检查,轨道的磁共振成像 (MRI) 和外科探索.
- 扭伤的上直肠肌肉的解剖并使用镜来治疗双眼视.
主要成果:
- 患者呈现出双眼视和左眼低,原因是上直肠 (SR) 和上斜 (SO) 肌肉的脱落.
- 手术检查证实了SR脱落,并确定了形的SO肌.
- 经手术后的升高和残余低的改善用镜进行管理.
结论:
- 粗的轨道创伤可能会导致复杂的眼外肌肉突破.
- 迅速的手术干预,包括肌肉解剖,对于管理这种伤害至关重要.
- 多因素管理,包括镜,可能是必要的残留症状,如双眼视.
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