medigraphic.com
ISSN 1029-3035 (Electronic)

2022, Number 1

<< Back Next >>

Mediciego 2022; 28 (1)

Traumatic ocular burst and retrobulbar hematoma, urgency in times of COVID-19. Case report

Sablón-González R, Molinet-Vega LM, Pérez-Pacheco AI

Language: Spanish
References: 15
Page: 1-15
PDF size: 777.56 Kb.


ABSTRACT

Introduction: traumatic retrobulbar hematoma and ocular bursting in patients with cerebral palsy are rare conditions, whose outcome with respect to ocular integrity, can be compromised if not properly protocolized. Ocular traumatisms are responsible for 0.3% of orbital fractures and 10% of retinal detachment, with an incidence reported in the universal literature of six patients per 100,000 people.
Objective: to present the case of a traumatic retrobulbar hematoma in a patient with cerebral palsy associated with ocular bursting.
Case presentation: a 19-year-old female patient treated at the "Enrique Cabrera" General Teaching Hospital with a history of cerebral palsy, bilateral congenital glaucoma, hip dysplasia, epilepsy, ocular bursting, and traumatic retrobulbar hematoma of the right eye. She was diagnosed through anamnesis, physical examination, complementary imaging and laboratory studies. Subsequently, she was taken to the operating room for a surgical exploration, through which the ocular bursting of the right eye and disorganization of the anterior segment were found, for which ocular evisceration was carried out as the final resolution of the case.
Conclusions: the clinical-surgical management of the patient by the multidisciplinary team in charge was satisfactory. However, since this ophthalmic emergency was faced during the COVID-19 pandemic, medical treatment and timely surgical exploration prevented more serious complications.


REFERENCES

  1. Gise R, Truong T, Parsikia A, Mbekeani JN. A comparison of pediatric ocular injuries based on intention in patients admitted with trauma. BMC Ophthalmology [Internet]. 2019 [citado 1 May 2020];19(37):[aprox. 11 p.]. Disponible en: https://bmcophthalmol.biomedcentral.com/counter/pdf/10.1186/s12886-018-1024-7.pdf

  2. Kaneko H, Asami T, Sugita T, Tsunekawa T, Matsuura T, Takayama K, et al. Better Visual Outcome by Intraocular Lens Ejection in Geriatric Patients with Ruptured Ocular Injuries. PLOS ONE [Internet]. 2017 [citado 1 May 2020];12(1):[aprox. 11 p.]. Disponible en: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0170094&type=printable

  3. Milwood-Hargrave J, Pearce P, Mayhew ER, Bull A, Taylor S. Blast injuries in children: a mixed-methods narrative review. BMJ Paediatr Open [Internet]. 2019 [citado 1 May 2020];3(1):[aprox. 18 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733323/pdf/bmjpo-2019-000452.pdf

  4. Reza-Mansouri M, Ali-Tabatabaei S, Soleimani M, Yaser-Kiarudi M, Molaei S, Rouzbahani M, et al. Ocular trauma treated with pars plana vitrectomy: early outcome report. INT J Ophthal [Internet] 2016 [citado 1 May 2020];9(5):738-42. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886889/pdf/ijo-09-05-738.pdf

  5. Mohapatra DP, Thiruvoth FM, Chittoria RK, Kumar SD, Kumar SH, Kumar S, et al. Proposal of a new classification scheme for periocular injuries. Indian J Plast Surg. [Internet]. 2017 [citado 1 May 2020];50(1):21–8. Disponible en: https://www.thieme-connect.de/products/ejournals/pdf/10.4103/ijps.IJPS_207_16.pdf

  6. Zheng L, Tan J, Liu R, Yang X, He H, Xiao H, et al. The Impact of Primary Treatment on Post-Traumatic Endophthalmitis in Children with Open Globe Injuries: A Study in China. Int. J. Environ. Res. Public Health. [Internet]. 2019 [citado 2 May 2020];16(16):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719907/pdf/ijerph-16-02956.pdf

  7. Fujikawa A, Mohamed YH, Kinoshita H, Matsumoto M, Uematsu M, Tsuiki E, et al. Visual outcomes and prognostic factors in open-globe injuries. BMC Ophthalmol [Internet]. 2018 [citado 2 May 2020];18(1):[aprox. 8 p.] Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994054/pdf/12886_2018_Article_804.pdf

  8. Chen X, Zha Y, Du S, Yang X. Timely Use of Conventional Vitrectomy and Endoscope-Assisted Vitrectomy for Endophthalmitis Following Open Ocular Trauma: A Retrospective Study of 18 Patients. Med Sci Monit [Internet]. 2019 [citado 3 May 2020];25:8628-36. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6874835/pdf/medscimonit-25-8628.pdf

  9. Al-Wadeai EAY, Osman AA, Macky TA, Soliman MM. Epidemiological Features of Pediatric Ocular Trauma in Egypt. J Ophthalmol [Internet]. 2016 [citado 4 May 2020];2016:[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069374/pdf/JOPH2016-7874084.pdf

  10. Yucel OE, Demir S, Niyaz L, Sayin O, Gul A, Ariturk N. Clinical characteristics and prognostic factors of scleral rupture due to blunt ocular trauma Eye. Eye [Internet]. 2016 [citado 4 May 2020];30:1606–13: páginas. Disponible en: https://www.nature.com/articles/eye2016194.pdf

  11. Kanu LN, Jiang Y, Gonzalez AF-V, Mieler WF. Visual and Anatomic Outcomes in Perforating Ocular Injuries. J Vitrioretin Dis [Internet]. 2019 [citado 4 May 2020];3(6):428–37. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859898/pdf/nihms-1050167.pdf

  12. Puodžiuvienė E, Jokūbauskienė G, Vieversytė M, Asselineau K. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. BMC Ophthalmol [Internet]. 2018 [citado 5 May 2020];18(1):[aprox. 11 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774107/pdf/12886_2018_Article_676.pdf

  13. Meng Y, Yan H. Prognostic Factors for Open Globe Injuries and Correlation of Ocular Trauma Score in Tianjin, China. J Ophthalmol [Internet]. 2015 [citado 5 May 2020];2015:[aprox 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602319/pdf/JOPH2015-345764.pdf

  14. Mehmood A, Hung YW, He H, Ali S, Bachani AM. Performance of injury severity measures in trauma research: a literature review and validation analysis of studies from low-income and middle-income countries. BMJ Open [Internet]. 2019 [citado 6 May 2020];9:[aprox. 11 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326328/pdf/bmjopen-2018-023161.pdf

  15. Shew M, Carlisle MP, Lu G, Humphrey C, Kriet JD. Surgical Treatment of Orbital Blowout Fractures: Complications and Postoperative Care Patterns. Craniomaxillofac Trauma Reconstr [Internet]. 2016 [citado 7 May 2020];9(4):299-304. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5101114/pdf/10-1055-s-0036-1584892.pdf17. De Sousa FC, Pinto-Medeiros J, Marques R, Marques-Neves C. Spontaneous retrobulbar haemorrhage in idiopathic thrombocytopenic purpura. BMJ Case Rep [Internet] 2017 [citado 7 May 2020];2017:[aprox. 2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728228/pdf/bcr-2017-223028.pdf18. Scheyerer MJ, Döring R, Fuchs N, Metzler P, Sprengel K, Werner CML, et al. Maxillofacial injuries in severely injured patients. J Trauma Manag Outcomes [Internet]. 2015 [citado 8 May 2020];9:[aprox. 9 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469581/pdf/13032_2015_Article_25.pdf19. Figueredo-Amaral MB, Furtad-Carvalho M, Baptista-Ferreira A, Alves-Mesquita RA. Traumatic Globe Luxation Associated with Orbital Fracture in a Child: A Case Report and Literature Review. J Maxillofac Oral Surg [Internet]. 2013 [citado 9 May 2020];14 Supl 1:323–30: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379306/pdf/12663_2013_Article_539.pdf20. Leshner M, Gibbons R, Costantino T. Adult Male with Traumatic Eye Pain and Swelling. Clin Pract Cases Emerg Med [Internet]. 2017 [citado 10 Mao 2020];2(2):169–70: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965122/pdf/cpcem-02-169.pdf21. Park MJ, Yoo YJ, Chung CY, Hwang JM. Ocular findings in patients with spastic type cerebral palsy. BMC Ophthalmol [Internet]. 2016 [citado 10 May 2020;16:[aprox. 6 p.]. Disponible en: https://bmcophthalmol.biomedcentral.com/counter/pdf/10.1186/s12886-016-0367-1.pdf22. Lobos-Soto C, Curutchet-Mesner L, Rodríguez-Falcón M, Cabrera-Lópz F, Bernal-Montesdeoca L, Melián-Villalobos R. Traumatismo ocular a globo abierto: Cómo enfrentarnos a este desafío. Arch. Soc. Canar. Oftalmol. [Internet]. 2014 [citado 10 May 2020];(25):19-25. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4744066&orden=1&info=link23. Welch-Ruiz G, Cruz-Blanco M, Hernández-Fernández Y. Ruptura del globo ocular. Rev. Cuba. de Medicina Mil [Internet]. 2018 [citado 10 May 2020]; 2018; 47(4):[aprox 7 p.]. Disponible en: http://scielo.sld.cu/pdf/mil/v47n4/a11_64.pdf24. Viales-López G. Patología Traumática Ocular. Revisión Bibliográfica. Med. leg. Costa Rica. 2016;33(2):[aprox: 10 p.]. Disponible en: https://www.scielo.sa.cr/pdf/mlcr/v33n2/2215-5287-mlcr-33-02-86.pdf25. Sánchez-Morera F, Balcells-González R, Pérez-Araya M. Manual de Bolsillo Manejo del trauma ocular para profesionales de la salud [Internet]. Santiago de Chile: Ministerio de Salud; 2019 [citado 10 May 2020]. Disponible en: https://stream2.docer.com.ar/pdf_dummy/eyJpZCI6IjU0NTYwODEiLCJuYW1lIjoiTWFudWFsIGRlIGJvbHNpbGxvIFRNQSBvY3VsYXIiLCJleHRlbnNpb24iOiJwZGYiLCJjaGVja3N1bV9pZCI6IjE4NzI0MTI5In0,?




2020     |     www.medigraphic.com