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題名:ACUTE ORBITAL COMPARTMENT SYNDROME IN A PATIENT WITH SINUSITIS AFTER LACRIMAL IRRIGATION--A CASE REPORT     (10點)
鼻竇炎病人做完淚囊沖洗術後產生急性眼框腔室症候群之病例報告
著者:Chun-Hsien Liu(劉俊賢) ;Hsiao-Hsuan Tsai(蔡曉萱) ;Pei-Yu Lin(林佩玉) ;Chi-Te Chen(陳記得) ;Chieh-Chih Tsai(蔡傑智) ;Shu-Ching Kao(高淑卿) ;Wen-Ming Hsu(許紋銘)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Acute orbital compartment syndrome ; sinusitis ; subperiosteal abscess ; lacrimal irrigation
刊名:中華民國眼科醫學會雜誌
卷期:47卷1期(2008.3)
頁碼:75-79
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一個患有急性鼻竇炎的青少年,在做 完淚囊沖洗術之後,造成罕見的急性眼窩腔室症候群 的案例 方法:病例報告 結果:一個14 歲健康女孩,在接受鼻淚管沖洗 術之後,左眼疼痛,眼球突出無法轉動,視力變模糊 合併發燒。在眼科檢查,左眼窩壓力增加,眼壓 的mmHg' 最佳矯正視力左眼6/60 '有結膜下充血及 水腫。電腦斷層顯示有上領竇及篩狀竇發炎,合併其旁邊左倒眼窩上側及鼻側二處大範圓的骨膜下膜 瘡。緊急替病患做左側外皆韌帶切開及分離備,並在 二處骨膜下膜傷處,分別用空針各抽出5c.c.紅褐色膜 液,其左眼窩的壓力及疼痛立即得到緩解。但因為靜 脈注射抗生素治療無效及眼眶腔室症候群復發,耳鼻 喉科即安排內視鏡引流膜揚手術,術後病人恢復良 好,僅在眼角膜下方留下些須結疤。 結論:在急性鼻竇炎的病人,合併做完淚囊沖洗 術之後,可能發生罕見的急性眼窩腔室症候群。
Purpose: To present an unusual case of acute orbital compa吋ment syndrome in a patient with sinusitis after lacrimal irrigation. Method: Interventional case repo吋. Results: A 14-year-old young girl presented with fever, acute proptosis, chemosis, decreased vision, and total ophthalmoplegia of left eye after lacrimal irrigation. Ophthalmologic evaluation showed a tense orbit and increased intraocular pressure reaching 43 mmHg. Computed tomography (CT) revealed the presence of sinusitis involving the maxillary and ethmoid sinuses and two large subperiosteal abscesses in left orbit. Immediate left lateral canthotomy and cantholysis, as well as needle aspiration of 10 ml of pus discharge relieved temporarily her orbital tension. However, the symptoms progressed despite intravenous antibiotics. Endoscopic surgical drainage was then pe斤。rmed by otolaryngologist. The patient recovered completely except for an inferior corneal scar. Conclusion: Although rare, orbital compa叫ment syndrome may develop in a patient with sinusitis after lacrimal irrigation.


    

本卷期目次
中華民國眼科醫學會雜誌 47卷1期 (2008.3)
如何診斷正常眼壓青光眼/ 吳秀琛
INTRAVITREAL BEVACIZUMAB FOR CHOROIDAL NEOVASCULARIZATION SECONDARY TO AGE-RELATED MACULAR DEGENERATION--A SHORT-TERM STUDY/ Yu-Lun LoCheng-Kuo ChengChi-Hsien PengTong-Sheng LeeChao-Chien HuTzu-En WuHueu-Chen LinPai-Huei PengChyi-Huey BaiHuey-Shyan Lin
我國與世界各國軍方空勤視力體檢之比較/ 洪啟庭蔡明霖劉峻正黃博宏吳怡昌袁本治孫卓卿
額前肌瓣前移術用於眼瞼下垂之矯正/ 張欣怡蔡顯揚袁漢良
CONJUNCTIVAL MUCOSA-ASSOCIATED LYMPHOID TISSUE (MALT) LYMPHOMA: REPORT OF 6 CASES/ Wan-Ju LeeSung-Huei TsengYing-Ting ChenHon-Chun ChengFu-Chin Huang
IRIS TUMOR AND SECONDARY GLAUCOMA AS INITIAL PRESENTATIONS OF LUNG CARCINOMA: A CASE REPORT/ Ching-Ya HuangKwou-Yeung Wu
ONE-MINUTE SCHIRMER TEST FOR BASAL TEAR SECRETION/ Yung-Ping TsuiWen-Lu ChenChun-Chi ChiangShih-Yuan HuangChiu-Chen HuangYi-Yu Tsai
BILATERAL CATARACTS AFTER PSORALEN AND LONG-WAVE ULTRAVIOLENT RADIATION(PUVA) TREATMENT FOR PSORIASIS/ Chi-Ting HorngKuang-Jen ChienDaih-Iluang KuoFu-An ChenChien-Te LinMing-Ling TsaiPo-Chuen Shieh
GRID PATTERN LASER TREATMENT FOR ATYPICAL CHRONIC RECURRENT CENTRAL SEROUS CHORIORETINOPATHY--CASE REPORT/ Yu-Kai WuCheng-Kuo Cheng
AIDS PRESENTING EARLY CYTOMEGALOVIRUS RETINITIS--A CASE REPORT/ Chieh-Feng ChengChien-Liang WuChih-Yu Chen
ACUTE ORBITAL COMPARTMENT SYNDROME IN A PATIENT WITH SINUSITIS AFTER LACRIMAL IRRIGATION--A CASE REPORT/ Chun-Hsien LiuHsiao-Hsuan TsaiPei-Yu LinChi-Te ChenChieh-Chih TsaiShu-Ching KaoWen-Ming Hsu
IN VIVO CONFOCAL MICROSCOPY OF COMBINED FUCHS' ENDOTHELIAL DYSTROPHY AND PRE-DESCEMET'S MEMBRANE CORNEAL DYSTROPHY--A CASE REPORT/ Chia-Ching HoHuey-Chuan ChengTzong-Shyne Liu
以急性視力受損為全身紅斑性狼瘡的初發表現--病例報告/ 陳俊寰劉美麟
外科手術成功解除因骨纖維結構不良症造成壓迫性視神經病變之病例報告/ 李美侖黃福進史敏秀
 
   
 
   

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