안와골절 후 상악동으로의 안구 탈출 1예

• 영문명: A Case of Dislocation of the Globe into the Maxillary Sinus after Orbital Wall Fracture
• 발행기관: 대한안과학회
• 저자명: 이관훈 안정현 경성은 장무환,Kwan Hoon Lee, M.D., Jung Hyun Ahn, M.D., Seong Eun Kyung, M.D., Moo Hwan Chang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number2, 368~376쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.02.29

영문 초록

`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.`

키워드

Central retinal artery occlusion, Globe dislocation, Maxillary sinus, Orbital blowout fracture, Optic nerve injury