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  • 标题:A Case of Dislocation of the Globe into the Maxillary Sinus after Orbital Wall Fracture
  • 本地全文:下载
  • 作者:Lee, Kwan Hoon ; Ahn, Jung Hyun ; Kyung, Seong Eun
  • 期刊名称:Journal of the Korean Ophthalmological Society
  • 印刷版ISSN:0378-6471
  • 出版年度:2008
  • 卷号:49
  • 期号:2
  • 页码:368-376
  • DOI:10.3341/jkos.2008.49.2.368
  • 语种:Korean
  • 出版社:The Korean Ophthalmological Society
  • 摘要:Purpose

    We report a case of a 38-year-old man who suffered a blowout fracture of the orbital wall with an intact eyeball entrapped within the maxillary sinus after trauma.

    Case summary

    The 38-year-old man was admitted to the emergency room after sustaining a work-related trauma. His chief complaints were loss of vision and bleeding from the left periorbital area. He had no light perception and no eyeball was found in the orbit. Facial CT revealed that the intact eyeball was entrapped within the maxillary sinus. The condition of the optic nerve was difficult to ascertain. Ten hours after post-trauma, reduction surgery was done with a graft from the iliac bone. Ruptured extraocular muscles were not primarily sutured. After four months, vitrectomy was performed on the left eye. The eyeball was repositioned in its place. He had no light perception. Extraocular motility improved at the last follow-up examination.

    Conclusions

    We report the dislocation of the eyeball globe into the maxillary sinus after a blowout fracture. Visual acuity showed no light perception as a result of central retinal artery occlusion and optic nerve injury. We were able to obtain a good aesthetic and functional result after the operation.

  • 关键词:Central retinal artery occlusion; Globe dislocation; Maxillary sinus; Orbital blowout fracture; Optic nerve injury
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