Assuntos
Anestesia Local/efeitos adversos , Ferimentos Oculares Penetrantes/prevenção & controle , Corticosteroides , Idoso , Anestesia Local/métodos , Extração de Catarata/métodos , Segurança de Equipamentos , Ferimentos Oculares Penetrantes/terapia , Feminino , Humanos , Macula Lutea/lesões , Agulhas/efeitos adversos , Traumatismos do Nervo Óptico , Prognóstico , Fatores de RiscoRESUMO
The oculocardiac reflex occurred in a patient with an anophthalmic socket undergoing surgery for inferior fornix shortening and laxity of the lower lid. This reflex occurs only rarely in anophthalmia; it has not been previously reported during socket surgery.
Assuntos
Anoftalmia/fisiopatologia , Reflexo Oculocardíaco , Idoso , Anoftalmia/cirurgia , Atropina/uso terapêutico , Pressão Sanguínea , Eletrocardiografia , Traumatismos Oculares/complicações , Pálpebras/cirurgia , Frequência Cardíaca , Humanos , Complicações Intraoperatórias , MasculinoRESUMO
Posttraumatic tension orbitus developed in a young man causing subconjunctival emphysema and proptosis. Intraocular pressures were monitored as a means of indirectly measuring intraorbital pressure. The patient was serially examined for evidence of compressive optic neuropathy. Because of the possibility of orbital pressure increasing several hours from the time of injury, we recommend monitoring of these patients through intraocular pressure measurement and evaluation of the optic nerve for evidence of compression. Our findings, however, do support previous documentation that the intraocular pressure rise following orbital trauma with orbital emphysema is usually not of sufficient severity or duration to result in visual compromise.
