Orbital-Conjunctival-Eyelid Hemorrhage-Hematoma due to Inappropriate use of FFP2/NK95 Facial Mask in COVID-19.
Orbital-Conjunctival-Eyelid Hemorrhage-Hematoma due to Inappropriate use of FFP2/NK95 Facial Mask in COVID-19.
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DOI：
10.7759/cureus.11273
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发表时间：
2020-10-31
期刊：
影响因子：
--
通讯作者：
Gutiérrez-Díaz E
中科院分区：
文献类型：
--
作者：
Ruiz-Arranz C;Mencía-Gutiérrez E;Bengoa-González Á;Pérez-Trigo S;Gutiérrez-Díaz E
非外伤性或自发性眼眶出血(NTOH)通常由眼眶肿块、炎症、感染、出血性疾病或特发性引起。这一实体通常影响老年人，可以确定一些危险因素。正常情况下，NTOH表现为良性的自限过程，但注意其解剖模式，可能需要特殊的处理。一位的男性患者，在新冠肺炎大流行期间佩戴FFP-2/NK95口罩后立即出现双眼双眼突然复视，无视力丧失(VA)或疼痛。他表现为突发性的眼眶-结膜下-眼睑皮肤出血-血肿，并伴有结膜从眼睑裂隙突出而无突起。内收受限，下睑内侧1/3处有皮肤血肿。48小时后，复视消失，眼球运动完全恢复，并持续大量吞噬。由于新冠肺炎的流行情况，没有进行放射影像测试，因为患者的全身状况良好，并不是危急情况。保守治疗、冷敷和保湿滴眼液的发展是有利的。10天后，瘀伤几乎完全消失了。在由新型冠状病毒2型冠状病毒(SARS-CoV-2)引起的新型冠状病毒病(新冠肺炎)大流行期间，医护人员和普通民众使用口罩的数量急剧增加。此案的重要性在于，在普通人群中滥用强制性口罩造成了新的不良影响。
A non-traumatic or spontaneous orbital hemorrhage (NTOH) is usually caused by the presence of an orbital mass, an inflammation, an infection, a bleeding disorder or those called idiopathic. This entity usually affects elderly adults and some risk factors can be identified. The NTOH normally acts like a benign and self-limited process, but attending to its anatomical pattern, may need specific management. A 64-year-old male referred to us with sudden binocular double vision, without loss of visual acuity (VA) or pain immediately after fitting the FFP2/NK95 facial mask for air protection during the pandemic COVID-19. He presented sudden orbital-subconjunctival-eyelid cutaneous hemorrhage-hematoma with conjunctival protrusion from the palpebral fissure without proptosis. There was also limitation in adduction and a cutaneous hematoma in the inner third of the lower eyelid. After 48 hours, the diplopia had resolved and ocular motility was completely re-established with persistence of a massive hyposphagma. No radiological image test was performed due to the COVID-19 epidemiological situation, as the patient was in good systemic situation and it was not a vital emergency. The evolution was favorable with conservative treatment, cold application, and moisturizing eye drops. After 10 days, the bruising was almost completely gone. During the ongoing novel coronavirus disease (COVID-19) pandemic caused by the novel enveloped RNA virus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), face mask use has drastically increased among the healthcare professionals and the general population. The importance of this case lies in the new adverse effects caused by the misuse of mandatory face masks in the general population.
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