Orbital Emphysema andPneumocephalus Caused By Air Gun:Case Report
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Dosyalar
Tarih
2017
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Orbital amfizem, direkt veya indirekt travma neticesinde orbitaya hava kaçması sonucu meydana gelen bir durumdur. Oniki yaşında erkek bir çocuk şakalaşma esnasında yüksek basınçlı hava tabancasının sol gözüne sıkılması şikayeti ile kliniğimize başvurdu. Hastanın yapılan of- talmolojik muayenesinde görme düzeyleri her iki gözde 20/20 olarak saptandı. Göz içi basınçları normaldi. Ön segment muayenesinde sol göz çevresinde şişlik, propitozis, krepitasyon, hassasiyet ve ağrı mevcuttu. Kapak ekarte edilerek yapılan biyomikroskopik muayenede yaygın subkon- jonktival amfizem, saat 4-5 hizasında subkonjonktival hemoraji ve aynı bölgedeki forniks kon- jonktivasında yaklaşık 2 mm'lik kesi tespit edildi. Arka segment muayenesinde her iki göz de doğal olarak değerlendirildi. Hastanın fizik muayenesinde yüzünün sol tarafında, şakağında ve kulak üstündeki saçlı deride krepitasyon alınan şişlik mevcuttu. Bilgisayarlı tomografi tetkikinde retroorbital bölgede amfizem ve pnömosefali tespit edildi. Hastaya tarafımızca topikal antibiyotik damla ve pomad ile beyin cerrahisi tarafından profilaktik oral antibiyotik ve antiinflamatuar te- davi verildi
Orbital emphysema is condition occurring as result of air escape into the orbital ca— vity due to direct or indirect trauma. Twelve—year-old boy was admitted to our clinic with the com— plaint of trauma of high—pressure air gun in the left eye occurred during joking. In the ophthalmologic examination of the patient, the visual acuity was found to be 20/20 in both eyes. Intraocular pressure was normal. In the anterior segment examination, swelling around the left eye, proptosis, crepitation, tenderness, and pain were present. In the slit—lamp examination, wide subconjunctival emphysema, subconjunctival hemorrhage at 4-5 o'clock position and about 2—mm— laceration in the conjunctival fornix of the same area were found. Posterior segment examinations of the both eyes were normal. On the physical examination, swelling with crepitation was present on the left side of the face, temporal region and the hairy scalp over the ear. Emphysema and pneu— mocephalus were detected in the retro—orbital region on the computed tomography examination. Topical antibiotic drops and ointment were given to the patients and prophylactic oral antibiotic and anti—inflammatory treatment were given by department of neurosurgery.
Orbital emphysema is condition occurring as result of air escape into the orbital ca— vity due to direct or indirect trauma. Twelve—year-old boy was admitted to our clinic with the com— plaint of trauma of high—pressure air gun in the left eye occurred during joking. In the ophthalmologic examination of the patient, the visual acuity was found to be 20/20 in both eyes. Intraocular pressure was normal. In the anterior segment examination, swelling around the left eye, proptosis, crepitation, tenderness, and pain were present. In the slit—lamp examination, wide subconjunctival emphysema, subconjunctival hemorrhage at 4-5 o'clock position and about 2—mm— laceration in the conjunctival fornix of the same area were found. Posterior segment examinations of the both eyes were normal. On the physical examination, swelling with crepitation was present on the left side of the face, temporal region and the hairy scalp over the ear. Emphysema and pneu— mocephalus were detected in the retro—orbital region on the computed tomography examination. Topical antibiotic drops and ointment were given to the patients and prophylactic oral antibiotic and anti—inflammatory treatment were given by department of neurosurgery.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Türkiye Klinikleri Oftalmoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
26
Sayı
1
