Ulus Travma Acil Cerrahi Derg. 2015; 21(4): 309-314 | DOI: 10.5505/tjtes.2015.16768

Acil hekimlerinin oftalmik acili: Akut retrobulber hemoraji

Can Pamukcu¹, Mahmut Odabaþý^2
1Þehitkamil Devlet Hastanesi, Göz Kliniði, Gaziantep
²Þiþli Etfal Eðitim Ve Araþtýrma Hastanesi, Göz Kliniði, Ýstanbul

Akut retrobulber hemoraji (ARBH) künt göz travmasý sonrasý görülen nadir bir oftalmik acildir. Hastanýn çoklu travmatik hasarý ve bilinç kaybý varsa semptomlar gizlenebilir. Hastada kalýcý görme kaybýný önlemek için hýzlý taný konup zaman kaybetmeden lateral kantotomi, kantoliz yapýlmalýdýr. Medikal tedavi cerrahi tedaviye ek olarak baþlanabilir. Lateral kantotomi ve kantoliz acil hekimleri tarafýndan uygulanabilecek kolay bir prosedürdür. Bu makalede travma sonrasý retrobulber hemoraji geliþen bir olgumuzu sunarken, retrobulber hemorajinin tanýsý, tedavisi ve takibi hakkýnda genel bilgi verilmiþtir.

Anahtar Kelimeler: Maksillofasiyal travma, orbital kompartman sendromu; retrobulber hemoraji.

---

Acute retrobulbar haemorrhage: An ophthalmologic emergency for the emergency physician

Can Pamukcu¹, Mahmut Odabaþý^2
1Þehitkamil Goverment Hospital, Department Of Ophthalmology, Gaziantep
²Siþli Etfal Training And Research Hospital, Department Of Ophthalmology, Istanbul

Acute retrobulbar haemorrhage (ARBH) is a rare ophthalmic emergency observed following blunt eye trauma. Multiple trauma and loss of consciousness can hide symptoms of ARBH. Rapid diagnosis and immediate lateral canthotomy and cantholysis must be performed to prevent permanent visual loss in patients. Medical treatment can be added to surgical therapy. Lateral canthotomy and cantholysis are simple procedures that can be performed by emergency physicians. In this report, it was aimed to present a case with post-traumatic ARBH and provide general knowledge about the diagnosis, follow-up and treatment of ARBH.

Keywords: Maxillofacial trauma, orbital compartment syndrome; retrobulbar haemorrhage.

---

ATIF KOPYALA