下睑袋整复术后眶内血肿伴视力受损修复效果探讨  

Repair Effect of Intraorbital Hematoma with Visual Impairment after Lower Eyelid Blepharoplasty

作　　者：王颖维 胡丹 何艳茹 WANG Ying-wei;HU Dan;HE Yan-ru(Department of Ophthalmology,Xijing Hospital,Air Force Military Medical University,Xi'an 710032,Shaanxi,China)

机构地区：[1]空军军医大学西京医院眼科,陕西西安710032

出　　处：《中国美容医学》2020年第9期4-6,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:通过对2例睑袋术后眶内血肿合并视力受损的病例诊治,分析原因并提高对此类并发症救治的认识。方法:完善眼部相关辅助检查,综合分析,1例行术区出血原因探查联合药物治疗,1例保守药物救治,使用激素冲击治疗、甘露醇降眶压等,及时观察眶压、眶内血肿及视力情况。结果:经手术探查下睑袋术区,发现眶内脂肪出血,给予止血并清理部分积血联合药物降眶压;保守药物治疗者,及时降眶压及眼压;2例患者治疗后眶内血肿均逐渐吸收,视力改善。结论:下睑袋整复术是常见眼周美容手术,应重视围术期处置,并发眶内血肿时,及时降眶压、止血是必须的,避免不可逆的视功能损伤。Objective Through the diagnosis and treatment of 2 cases of intraorbital hematoma combined with visual impairment after lower eyelid blepharoplasty,to analyze the causes and improve the understanding of the treatment of such complications.Methods Perfect eye related auxiliary examination,comprehensive analysis.One case was treated with exploration of the causes of bleeding in the operation area combined with drug treatment.One case was treated with conservative medicine.The patients were treated with hormonal shock therapy and mannitol.Orbital pressure,intraorbital hematoma and visual acuity were observed.Results After surgical exploration,intraorbital fat bleeding was found,hemostasis and clearing part of hematocele were given combined with drugs to reduce orbital pressure.Patient on conservative medication,timely reduce the orbital pressure and intraocular pressure.In both cases,the hematoma was absorbed gradually and the vision was improved.Conclusion Lower eyelid blepharoplasty is a common cosmetic operation,which should be paid attention to perioperative management.When complicated with intraorbital hematoma,timely lower orbital pressure and hemostasis is necessary to avoid irreversible visual impairment.

关 键 词：下睑袋整复术 眶内血肿 视力受损 视神经损伤 眶内压 

分 类 号：R622[医药卫生—整形外科]