病例报告:一个创伤性下血瘤病例,延迟大规模外眼
Hui Jae Lee1, JaeHwan Jung2, Taesung Joo2
1Seoul Ire Eyeclinic, Kyung Hee University School of Medicine, Seoul, Republic of Korea.
Frontiers in surgery
|September 25, 2025
概括
在头部受伤后,下血瘤可以导致渐进式外眼,可能导致视力丧失. 对于预防失明和保持视力而言,即时的手术减压轨道血液瘤至关重要,正如发育障碍患者的病例所示.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 创伤后的渐进性外眼是罕见的,亚质血瘤是一个关键的差异诊断.
- 延迟诊断亚质血瘤可能会导致不可逆转的视神经或角膜损伤,导致视力丧失.
研究的目的:
- 报告一个罕见的发育障碍患者中,由于亚胆血瘤而导致的渐进性外眼的罕见病例.
- 突出及时手术干预的重要性,以防止由于压缩性视神经病变导致的视力损失.
主要方法:
- 一名16岁的Lennox-Gastaut综合征的男性在头部创伤两周后出现了严重的左眼亡和眼皮胀.
- 计算机断层扫描 (CT) 揭示了一种骨下血瘤,导致了显著的轨道质量效应.
- 手术减压包括通过下额头切口,侧侧切口和轨道排水装置去除轨道血液瘤;多次吸入下血液瘤.
主要成果:
- 在术后,CT上轨道血液瘤体积下降.
- 患者接受了对暴露皮病的保守管理.
- 在随访期间,角膜透明度保持不变,视敏度通过视觉唤起潜力 (VEP) 确认完好.
结论:
- 在创伤性外眼的病例中,特别是患有认知障碍的患者中,应考虑下血瘤.
- 轨道血液瘤的早期手术减压是有效的预防失明和维护视觉功能.
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