Orbitalni "compartment" sindrom

master's thesis

• Title (english): Orbital compartment syndrome
• Author: Igor Petrovski
• Mentor: Jelena Juri Mandić (mentor)
• Committee member: Damir Katušić (predsjednik povjerenstva)
• Committee member: Miro Kalauz (član povjerenstva)
• Committee member: Jelena Juri Mandić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Ophthalmology and Optometry); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Ophthalmology

Abstract

Tema ovoga diplomskoga rada je hitno stanje u oftalmologiji nazvano orbitalni
“compartment” sindrom. U hrvatskom jeziku ne postoji sinonim za navedeno stanje, ali
bismo ga mogli prevesti kao orbitalni kompresivni sindrom. Obzirom da je naziv orbitalni
“compartment” sindrom uvriježen, u daljnjem tesktu korisit ćemo ga u ovom obliku –
orbitalni kompartment sindrom. Radi se o rijetkom kliničkom sindromu u čijoj je podlozi
povećan intraorbitalni tlak u orbiti koja je prostorno veoma ograničena, a očituje se
simptomima poput boli u oku, dvoslikama, ograničenom pokretljivošću oka, gubitkom vida i
proptozom. Svi nabrojani simptomi su zasebno nespecifični, ali ako su grupirani i u anamnezi
je prisutan podatak o traumi potrebno je posumnjati na dijagnozu orbitalnoga kompartment
sindroma. Ako se ne posumnja na ovu dijagnozu dolazi do brzoga oštećenja intraorbitalnih
struktura što u nekoliko sati može dovesti do ireverzibilne sljepoće zahvaćenoga oka. Zbog
ozbiljnih posljedica dijagnoza je hitna kirurška intervencija u smislu dekompresije
orbitalnoga prostora. Za potvrdu dijagnoze mogu se koristiti slikovne metode, ali se zbog
brzine nastupa ireverzibilnih oštećenja koriste uglavnom tek nakon kirurškog postupka.
Dekompresija podrazumijeva kirurško otvaranje orbitalnih zidova te omogućava pomak
orbitalnog sadržaja u okolne anatomske prostore. Ako se pravovremeno postavi sumnja na
ovo zbivanje i započne adekvatno liječenje postoji velika šansa za potpuni oporavak.

Abstract (english)

The theme of this graduate thesis is ophthalmic surgical emergency called Orbital
compartment syndrome. This rare clinical syndrome which is caused by increased intraorbital
pressure within confined orbital space causes symtoms like eye pain, diplopia, reduction of
ocular motility, visual loss and proptosis. Isolated these symptoms are nonspecific but if they
are grouped together and anamnestic trauma is present the diagnosis of orbital compartment
syndrome is very probable. If not recognized and treated Orbital compartment syndrome
results in damage to intraorbital structures which leads to blindness in the affected eye.
Because of serious consequences urgent surgical procedure is indicated in which orbital space
is decompressed. Imaging methods can confirm the diagnosis, but are used after surgical
procedure because of very fast onset of irrepearable damage.Orbital decompression pertains
to surgical opening of the walls of orbitae which enables orbital structures to move in
adjacent anatomical areas. If diagnosed sufficiently early and treated adequately there is a
strong chance for complete recovery.

• Keywords: intraorbitalno povećanje tlaka; proptoza; ograničena bulbomotorika; gubitak vida; koštana dekompresija orbite
• Keywords (english): increased intraorbital pressure; proptosis; limited eye movement; blindness; orbital decompression
• Language: croatian
• URN:NBN: urn:nbn:hr:105:672969
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-07-06 11:12:06