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  • 标题:Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture
  • 本地全文:下载
  • 作者:Da Woon Lee ; Tae Hyung Kim ; Hwan Jun Choi
  • 期刊名称:Archives of Craniofacial Surgery
  • 印刷版ISSN:2287-1152
  • 出版年度:2021
  • 卷号:22
  • 期号:2
  • 页码:110-114
  • DOI:10.7181/acfs.2021.00052
  • 出版社:KoreaMed Synapse
  • 摘要:Retrobulbar hemorrhage is a disastrous condition that can lead to permanent blindness. As such, rapid diagnosis and treatment are critical. Here, we report a patient who presented with retrobulbar hemorrhage following an orbital floor fracture. Restoration of inferior orbital wall with porous polyethylene implant was underwent. Four days after the orbital floor reconstruction, the patient smoked a cigarette outdoors in -3˚C weather. Cold temperature and smoking caused an increase in his systemic blood pressure. The elevated blood pressure increased intraorbital pressure to the extent of causing central retinal artery occlusion and exacerbated oozing. During exploratory surgery, 3 mL of hematoma and diffuse oozing without arterial bleeding were observed. Prompt diagnosis and treatment prevented vision impairment. Few studies have reported on the risk factors for retrobulbar hemorrhage. This case showed that daily activities, such as exposure to cold weather or tobacco smoking, could be risk factors for retrobulbar hemorrhage.
  • 关键词:Blindness;Orbital fracture;Postoperative complication;Retrobulbar hemorrhage
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