眼眶病1例
A case of orbital disease
李晓峰 1余建 1袁一飞 1钱江1
作者信息
- 1. 复旦大学附属眼耳鼻喉科医院眼科 上海 200031
- 折叠
摘要
20岁男性患者,因交通事故后右眼眶骨折入院.患者门诊首诊时无颈动脉海绵窦瘘相关症状及体征,伤后 2 个月检查发现右眼眼压升高,伴有结膜血管扩张.脑磁共振血管成像(MRA)证明为右侧创伤性颈动脉海绵窦瘘,动脉造影证实了这一点,患者对栓塞治疗反应良好.讨论体会:该病例的临床意义在于临床诊疗过程中必须重视基本的体格检查,创伤后高眼压需系统分析其可能的因素,并且在外伤后数月,也应该考虑创伤性颈动脉海绵窦瘘存在的可能性.
Abstract
We report a case of a 20-year-old male patient who was admitted to the hospital with right orbital fracture after a traffic accident.The patient had no symptoms or signs related to carotid-cavernous sinus fistula at the first outpatient visit.Two-month later,the examination revealed elevated intraocular pressure in the right eye,accompanied by conjunctival vasodilation.Brain magnetic resonance angiography(MRA)demonstrated a right traumatic carotid-cavernous fistula,which was confirmed by arteriography,and the patient responded well to embolization therapy.The clinical significance of this case lies in the necessity of basic physical examination during clinical diagnosis and treatment.Post-traumatic intraocular hypertension requires systematic analysis of its possible contributing factors.Furthermore,even months after trauma,the potential presence of traumatic carotid cavernous fistula should be considered.
关键词
创伤性颈动脉海绵窦瘘/眼眶骨折/创伤性高眼压Key words
Traumatic carotid-cavernous fistula/Orbital fracture/Traumatic-related ocular hypertension引用本文复制引用
出版年
2024
NETL
NSTL
万方数据