{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:45:07Z","timestamp":1787161507058,"version":"build-2736575974"},"reference-count":47,"publisher":"Akademiai Kiado Zrt.","issue":"38","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,9,1]]},"abstract":"<jats:p>A szerz\u0151 oszt\u00e1ly\u00e1n 2007 augusztus\u00e1t\u00f3l 2010 m\u00e1rcius\u00e1ig 199 arck\u00f6z\u00e9pt\u00f6r\u00e9st szenvedett beteg k\u00f6z\u00fcl \u00f6t betegn\u00e9l alakult ki a s\u00e9r\u00fcl\u00e9st k\u00f6vet\u0151en retrobulbaris haematoma (2,5%). Ezen betegek k\u00f6z\u00fcl n\u00e9gy vesztette el v\u00e9glegesen \u00e9s teljesen szeme vil\u00e1g\u00e1t az \u00e9rintett oldalon. Egy betegn\u00e9l az id\u0151ben t\u00f6rt\u00e9nt beavatkoz\u00e1s a szemet megmentette. A szerz\u0151 a k\u00fcl\u00f6nb\u00f6z\u0151 oszt\u00e1lyokr\u00f3l gyakorlatilag vak \u00e1llapotban \u00e9rkezett betegek retrospekt\u00edv anal\u00edzis\u00e9t ismerteti. Az orbitat\u00f6r\u00e9s miatt l\u00e9trej\u00f6v\u0151, szemgoly\u00f3 m\u00f6g\u00f6tti v\u00e9rz\u00e9s \u2013 retrobulbaris haematoma \u2013 \u00e9s oedema a kev\u00e9ss\u00e9 t\u00e1gulni k\u00e9pes orbit\u00e1ban gyors nyom\u00e1sfokoz\u00f3d\u00e1st okoz \u2013 orbitakompartment-szindr\u00f3ma \u2013, \u00e9s emiatt alakul ki a nervus opticus ischaemi\u00e1ja, nekr\u00f3zisa \u00e9s a k\u00f6vetkezm\u00e9nyes vaks\u00e1g. A retrobulbaris haematoma t\u00fcneteinek (proptosis, chemosis, ecchymosis, ophthalmoplegia, mydriasis), illetve panaszainak \u00e9szlel\u00e9sekor (f\u00e1jdalom, diplopia, l\u00e1t\u00e1s\u00e9less\u00e9g-cs\u00f6kken\u00e9s, majd vaks\u00e1g) azonnal elkezdett gy\u00f3gyszeres (intrav\u00e9n\u00e1s szteroid, mannitol, acetazolamid kombin\u00e1ci\u00f3) \u00e9s seb\u00e9szi kezel\u00e9s (lateralis canthotomia, cantholysis \u00e9s orbitadekompresszi\u00f3) es\u00e9lyt adhat a beteg szem\u00e9nek, l\u00e1t\u00e1s\u00e1nak megment\u00e9s\u00e9hez, ellenkez\u0151 esetben m\u00e1r ak\u00e1r 20 percen t\u00fal is irreverz\u00edbilis, v\u00e9gleges vaks\u00e1g alakul ki. A retrobulbaris haematoma le\u00edr\u00e1sa \u00e9s kezel\u00e9se nem szerepel a magyar egyetemi tank\u00f6nyvek tananyag\u00e1ban, ez\u00e9rt, sajnos, a betegekkel el\u0151sz\u00f6r tal\u00e1lkoz\u00f3 koll\u00e9g\u00e1k \u2013 amint azt a bemutatott esetek t\u00f6rt\u00e9netei is jelzik \u2013 bizonytalanok a diagn\u00f3zist, a s\u00fcrg\u0151ss\u00e9get \u00e9s a tennival\u00f3kat illet\u0151en. A szerz\u0151 hi\u00e1nyp\u00f3tl\u00e1sk\u00e9nt foglalja \u00f6ssze a t\u00fcnetegy\u00fcttest \u00e9s a kezel\u00e9s lehet\u0151s\u00e9geit. A k\u00f3rk\u00e9p ismerete mellett elk\u00e9pzelhet\u0151, hogy az el\u0151fordul\u00e1s gyakoribb, mint gondoln\u00e1nk. A korrekt betegell\u00e1t\u00e1s c\u00e9lj\u00e1b\u00f3l lehets\u00e9ges, hogy az egyetemi, illetve posztgradu\u00e1lis k\u00e9pz\u00e9sben is sz\u00fcks\u00e9g lenne a betegs\u00e9g ismertet\u00e9s\u00e9re. Orv. Hetil., 2010, 38, 1537\u20131544.<\/jats:p>","DOI":"10.1556\/oh.2010.28951","type":"journal-article","created":{"date-parts":[[2010,9,8]],"date-time":"2010-09-08T21:07:14Z","timestamp":1283980034000},"page":"1537-1544","source":"Crossref","is-referenced-by-count":3,"title":["Blindness caused by retrobulbar hemorrhage (orbital compartment syndrome)"],"prefix":"10.1556","volume":"151","author":[{"given":"Guszt\u00e1v","family":"Klenk","sequence":"first","affiliation":[{"name":"1 F\u0151v\u00e1rosi \u00d6nkorm\u00e1nyzat Szent J\u00e1nos K\u00f3rh\u00e1za \u00e9s \u00c9szak-budai Egyes\u00edtett K\u00f3rh\u00e1zai F\u00fcl-, Orr-, G\u00e9ge- \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Budapest Di\u00f3s\u00e1rok \u00fat 1\u20133. 1125"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"atypb1","volume-title":"Szem\u00e9szet","year":"2004"},{"key":"atypb2","volume-title":"Oxiol\u00f3gia","year":"2001"},{"key":"atypb3","volume-title":"F\u00fcl-, orr-, g\u00e9gegy\u00f3gy\u00e1szat","year":"1997"},{"key":"atypb4","volume-title":"Sz\u00e1jseb\u00e9szet-maxillofaci\u00e1lis seb\u00e9szet","year":"2004"},{"key":"atypb5","volume-title":"S\u00fcrg\u0151s esetek ell\u00e1t\u00e1sa. 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