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作者报告二例成年女性,因治疗过敏性鼻炎,下鼻甲注射醋酸甲基强地松龙引起短暂失明。两例均表现有视网膜循环的栓塞,一例同时有脉络膜循环的栓塞,眼底照象清楚地显示小动脉的动脉内阻塞,数日后消失。经口服长效烟酸、强的松等药物治疗,虽然其中一例表现有永久性傍中心暗点,但最终视力良好。鼻、头皮、口唇及扁桃窝内的治疗注射极少引起失明,但也绝非罕见,早在20世纪初期就有几位学者报导用温液体石腊鼻内注射以矫正鼻畸形时引起失明;1957年Walsh观察到上唇局麻注射后引起一过性双目失明,1963年Von Bahr报告一例因患班秃作颞部及额顶部
The authors report two cases of adult women, due to the treatment of allergic rhinitis, inferior turbinate injection of methylprednisolone acetate caused a temporary blindness. Both cases showed embolization of retinal circulation, one with choroidal circulation embolism, fundus photography clearly shows the arterioles of the arterial obstruction, a few days later disappeared. Long-term oral administration of niacin, prednisone and other drug treatment, although one case showed a permanent dark spot near the center, but the final visual acuity was good. Treatment in the nose, scalp, lips, and flat almonds rarely causes blindness, but it is by no means uncommon. As early as the early 20th century, several scholars reported that intranasal injection of warm liquid paraffin to correct nasal deformities causes blindness. 1957 Walsh observed a topical local anesthetic injection caused by a blind binocular blind, Von Bahr in 1963 reported a case of bald due to the temporal and frontal volume