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约3％面部骨折引起的严重眼外伤可使视力丧失。笔者最近治疗了一例因眶侧壁、视神经管、颧骨骨折而严重视力损害的病人。使用CT确定视神经可能受损伤的部位,早期复位骨折,并使用大剂量类固醇药物,使病人恢复了视力。患者男性,30岁,因交通事故致头面部损伤。多处面部皮肤擦伤,左侧完全性外眼肌麻痹,结膜水肿及结膜下少量出血,瞳孔直径7mm,无光反射和调节反射,仅能区别光亮和黑暗,但不能识别指数和字
About 3% of facial fractures caused by severe ocular trauma can cause loss of vision. I recently treated a case of patients with severe visual impairment due to orbital wall, optic canal, zygomatic fracture. Using CT to identify areas of the optic nerve that may be damaged, early reduction of fractures and the use of high-dose steroid medications to restore visual acuity to the patient. Male, 30 years old, head and face injury due to traffic accident. Multiple facial skin abrasions, complete left external ophthalmoplegia, conjunctival edema and a small amount of bleeding under the conjunctiva, pupil diameter 7mm, matte reflex and reflex, can only distinguish between light and dark, but can not identify the index and the word