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眶内深部肿物摘除术后失明(视网膜中央动脉阻塞),是一严重并发症。国内文献报导其发生率为1.94%。刘某女 27岁左眼眼球向前突出七年,视力下降一年。曾按炎症治疗无效而住院。检查:视力右1.5Jrl,左0.9Jrl,左眼眼球向前外方突出,眼球各方向运动正常。在眶缘处未触及肿物。眼球突出度右14mm,左20mm。视乳头正常,中心凹反射(一),黄斑颞侧网膜有皱折,网膜血管正常。眼压正常。复视像检查(一)。超声波检查:球后间隙开大,实性反射回波,诊为眶内占位性病变。X线检查:左眼眶内密度增高,眶上裂稍
Deep orbital removal of the tumor after blindness (central retinal artery occlusion) is a serious complication. Domestic literature reported its incidence was 1.94%. Liu female 27-year-old left eye prominent seven years forward, visual acuity decreased by one year. Inflammatory treatment was invalid and hospitalized. Check: visual acuity 1.5Jrl, left 0.9Jrl, left eye prominent forward, the eye movement in all directions normal. In the orbital margin did not touch the tumor. Right eye protrusion degree 14mm, left 20mm. Normal optic disc, foveal reflex (a), macular temporal retina wrinkled retinal blood vessels normal. IOP normal. Multiple visual inspection (a). Ultrasound: open ball after the gap, the real reflection echo, diagnosed as intraorbital occupying lesions. X-ray examination: left orbital density increased, supraorbital fissure slightly