Endoscopic ethmoid sinus surgery caused by open 1 case of ischemic optic neuropathy.docVIP

 PAGE \* MERGEFORMAT 5 Endoscopic ethmoid sinus surgery caused by open 1 case of ischemic optic neuropathy Of: Pengyong Li, Wang Siyu, plate Zhiquan [Keywords:] ischemic optic neuropathy, maxillary sinus, ethmoid A medical record Patients, male, 23 years old, in June 12, 2005, in the right maxillary sinus anesthesia open surgery, blood loss of about 150 ml, some of endoscopic orbital fat prolapse, bleeding. Awake patients back to the ward , the private prosecution right eye and right orbital edema weeks. at June 14, 2005, transfer eye treatment, examination, visual acuity light perception right eye, left eye 1.0, bilateral and other large pupil, right pupil directly reduced light response, indirect response, and the right eye at the end clear, slightly blurred optic disk boundary, edema 1D, the posterior pole retinal edema, macular no exception. laboratory WBC 12.6 109 / L, N 76%, L 24%, X-ray, normal ECG, CT report: right eye is slightly thickened optic nerve, extraocular muscle and orbital floor was no exception. ophthalmic drugs: 10% glucose solution 250 ml + cefotaxime sodium injection of 4.0 g + dexamethasone Liquid 20 mg, intravenous infusion, 1 / d, 20% mannitol injection 250 ml, intravenous infusion, 2 times / d, continuous oxygen, oral vitamin B120 mg, 3 times / d, 0.4 g inosine tablets , 3 times / d. for 1 week, visual acuity 0.1; eyes: pale optic nerve, macula there is a small yellow-white exudate, electrophysiological examination: OPS wave decline, P 100 amplitude of normal latency, FFA examination tips , optic nerve damage, optic nerve ischemic changes. plus compound anisodine injection 2ml, temporal subcutaneous injection, 1 / d, treatment of a course of treatment, nasal examination was normal, visual acuity of 0.2, was discharged after further treatment, inosine oral tablets, vitamin C, Xuesaitong film. six months after the referral, visual acuity 0.2, fundus: nipple color slightly pale, mild atrophy, macular exudate visible old mino