Fístula liquórica traumática com luxação de globo ocular: relato de caso

Arquivos Brasileiros de Oftalmologia

Filipe José Pereira²  Ronaldo Brandão De Proença Bettega²  Antonio Augusto Velasco E Cruz¹ 

[1] ,Hospital Governador Celso Ramos Departamento de Plástica Ocular Florianópolis SC ,Brasil

关键词: Fistula;    Cerebrospinal fluid;    Eye injuries;    Wounds;    gunshot;    Orbit;    Optic nerve injuries;    Tomography;    x-ray;    Human;    Female;    Infant;    Case reports;    Fístula;    Líquido cefalorraquidiano;    Traumatismos oculares;    Ferimentos por arma de fogo;    Orbita;    Traumatismos do nervo óptico;    Tomografia por raios x;    Humanos;    Feminino;    Lactente;    Relatos de casos;   

DOI  :  10.1590/S0004-27492011000100014

来源: SciELO

【 摘 要 】

This report describes the only case in the literature of globe luxation due to traumatic cerebrospinal fluid fistula to the orbit caused by fire gun with ocular globe maintenance. E.N., female, white, 7 months, admitted with left orbitocranial injury by fire gun. Ocular globe luxation was detected with complete ocular motility restriction and absence of pupillary reflex in the left orbit. Computed tomography showed fracture of the medial orbital wall; bone fragments near the apex of the orbit and a stretched optic nerve. Surgical exploration was performed, showing liquor fistula through the ethmoid-sphenoid wall that was blocked with sponge (Gelfoam®) plus organic glue in the left orbit posterior wall, with immediate resolution of the proptosis and ocular integrity maintenance. Although controversial, maintenance of the ocular globe instead of enucleation was performed due to the integrity of the globe in this case. Despite the blindness, we considered the result to the proposed treatment excellent, once the maintenance of the ocular globe provides a good appearance and will contribute to an adequate facial bone development.

【 授权许可】

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