Management of globe luxation followed by traumatic liquoric fistula: case report
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000100014 |
Resumo: | 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. |
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Management of globe luxation followed by traumatic liquoric fistula: case reportFistulaCerebrospinal fluidEye injuriesWounds, gunshot/complicationsOrbit/pathologyOptic nerve injuries/surgeryTomography, x-rayHumanFemaleInfantCase reportsThis 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.Conselho Brasileiro de Oftalmologia2011-02-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000100014Arquivos Brasileiros de Oftalmologia v.74 n.1 2011reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492011000100014info:eu-repo/semantics/openAccessPereira,Filipe JoséBettega,Ronaldo Brandão de ProençaCruz,Antonio Augusto Velasco eeng2011-06-03T00:00:00Zoai:scielo:S0004-27492011000100014Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2011-06-03T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Management of globe luxation followed by traumatic liquoric fistula: case report |
title |
Management of globe luxation followed by traumatic liquoric fistula: case report |
spellingShingle |
Management of globe luxation followed by traumatic liquoric fistula: case report Pereira,Filipe José Fistula Cerebrospinal fluid Eye injuries Wounds, gunshot/complications Orbit/pathology Optic nerve injuries/surgery Tomography, x-ray Human Female Infant Case reports |
title_short |
Management of globe luxation followed by traumatic liquoric fistula: case report |
title_full |
Management of globe luxation followed by traumatic liquoric fistula: case report |
title_fullStr |
Management of globe luxation followed by traumatic liquoric fistula: case report |
title_full_unstemmed |
Management of globe luxation followed by traumatic liquoric fistula: case report |
title_sort |
Management of globe luxation followed by traumatic liquoric fistula: case report |
author |
Pereira,Filipe José |
author_facet |
Pereira,Filipe José Bettega,Ronaldo Brandão de Proença Cruz,Antonio Augusto Velasco e |
author_role |
author |
author2 |
Bettega,Ronaldo Brandão de Proença Cruz,Antonio Augusto Velasco e |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pereira,Filipe José Bettega,Ronaldo Brandão de Proença Cruz,Antonio Augusto Velasco e |
dc.subject.por.fl_str_mv |
Fistula Cerebrospinal fluid Eye injuries Wounds, gunshot/complications Orbit/pathology Optic nerve injuries/surgery Tomography, x-ray Human Female Infant Case reports |
topic |
Fistula Cerebrospinal fluid Eye injuries Wounds, gunshot/complications Orbit/pathology Optic nerve injuries/surgery Tomography, x-ray Human Female Infant Case reports |
description |
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. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000100014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000100014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27492011000100014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.74 n.1 2011 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
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1754209026799828992 |