Simple ciliary retinal artery obstruction after temporomandibular arthroscopy: a case report

doi:10.19438/j.cjoms.2020.06.020

Abstract

Abstract: To summarize a case of ciliary retinal artery obstruction after arthroscopy in a patient with temporomandibular joint disorder, and analyze its cause, postoperative emergency, and conditions of prognosis, with the purpose to provide references for prevention and treatment of such complications. During operation, complications should be judged promptly and accurately. Close observation should be paid to and urgent treatment should be taken to prevent irreversible damage. At the same time, each surgical procedure should be carried out gently during operation and skilled surgical cooperation was needed.

Key words: Temporomandibular joint, Joint disc, Retinal artery obstruction

CLC Number:

R782.6

ZHOU Xiao-min, WANG Qiu-xu, LIANG Zhi-gang. Simple ciliary retinal artery obstruction after temporomandibular arthroscopy: a case report[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(6): 571-573.

References

[1] Sanders B.Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed lock[J]. Oral Surg Oral Med Oral Pathol, 1986, 62(4): 361-372.
[2] 邓永强, 郑苍尚, 朱耀旻. 应用颞下颌关节镜治疗颞颌关节盘前移位的临床研究[J].口腔医学研究, 2010, 26(3): 374-376.
[3] 曾融生, 任材年. 内窥镜手术治疗颞下颌关节紊乱综合征的初步体会[J].中华口腔医学杂志, 1995, 30(6): 367-369.
[4] 冼淡, 莫础嘉, 陈巨峰, 等. 颞下颌关节镜手术的并发症及其防治方法探讨[J]. 广东牙病防治, 2004, 12(4): 263-264.
[5] 段淑芳, 张义兰. 下颌关节注射强地松龙致视网膜睫状动脉阻塞[J]. 中国实用眼科杂志, 1999, 6(3): 173.
[6] 院志红, 王世娟. 球后注射曲安奈德致视网膜中央动脉阻塞护理1例[J]. 河北北方学院学报, 2010, 27(3): 48-48.
[7] 王志立, 陈晓, 李磊, 等. 透明质酸面部微整形致视功能障碍的临床观察[J]. 眼科新进展, 2018,38(11):1085-1088.
[8] 胡秀卓, 陈思琪, 张倩, 等. 面部美容注射导致视力丧失的临床分析[J]. 中华眼科杂志, 2017, 53(8): 594-598.
[9] 黄慧敏, 杨艳峰, 侯豹可, 等. 颜面部美容注射引发眼部并发症解剖分析[J]. 局解手术学杂志, 2016, 25(6): 405-408.
[10] Groenman FA, Peters LW, Rademaker BM, et al.Embolism of air and gas in hysteroscopic procedures: pathophysiology and implication for daily practice[J].J Minim Invasive Gynecol, 2008, 15(2): 241-247.
[11] 刘家琦, 李凤鸣. 实用眼科学[M]. 第3版. 北京: 人民卫生出版社, 2010: 411-412.
[12] 王润生, 雷涛, 王毅, 等. 超选择性眼动脉及选择性颈内动脉溶栓治疗视网膜中央动脉阻塞的疗效观察[J]. 中华眼底病杂志, 2014, 30(5): 450-453.
[13] 王润生, 钱路, 王毅, 等. 眼动脉分支逆行介入溶栓治疗视网膜中央动脉阻塞疗效观察[J].中华眼底病杂志, 2016, 32(4): 377-381.

[1]	YUE Shi-jing, ZHAO Jiong, BAI Guo, CHEN Min-jie, YANG Chi. Preliminary clinical evaluation of lateral pterygoid muscle preservation in total temporomandibular joint reconstruction with stock prosthesis [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 548-553.
[2]	LEE Mui-lee, ZHU Yao-min, WANG Yu-meng, DAI Juan, ZHANG Dan-di, LIANG Xiao. Clinical effects of the combination of rhytidectomy and temporomandibular joint surgery on 23 patients with internal derangement of the temporomandibular joint and aging faces [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 554-559.
[3]	CHEN Jing, ZHU Min. Clinical efficacy of stable occlusal plate combined with joint lavage in the treatment of temporomandibular joint disorders [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 565-570.
[4]	ZHANG Da-he, SHEN Pei, YANG Chi. Characteristics of adolescent patients with temporomandibular joint anterior disc displacement [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(5): 437-442.
[5]	ZHANG Da-he, SHEN Pei, YANG Chi. Characteristics of adolescent patients with temporomandibular joint anterior disc displacement [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(5): 443-448.
[6]	MA Zhi-gui, SHEN Pei, GE Jin, XIE Qian-yang, ZHAO Ning, DONG Min-jun, YNAG Chi. Application of multidisciplinary teaching model in course teaching of temporomandibular joint diseases [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(5): 500-504.
[7]	WANG Chu-yao, ZOU Lu-xiang, LU Chuan, HE Dong-mei. Study on the mechanism of miR-330-3p in cartilage degeneration in temporomandibular joint osteoarthritis in rats [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(4): 320-327.
[8]	LI Hui, HUANG Lin-jian, XIE Qian-yang, YANG Chi. Reaction and changes of rabbit mandibular condyle cultured in vitro to mechanical compression [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(4): 340-346.
[9]	CHEN Jian-rong, DING Shui-qing, CHEN Liang, HE Jia-jia, QI Rong-xing. Imaging features of temporomandibular joint disorder: comparison of the efficacy of cone-beam CT, MRI [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(3): 273-276.
[10]	FAN Shuai, CAI Bin, HE Dong-mei, XU Li-li, LU Shen-ji, FANG Zhong-yi. Effect of stretching devices on mouth opening limitation in patients after temporomandibular joint disc anchoring [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(1): 37-41.
[11]	WANG Tian-ge, ZHOU Zhi-jie, LIN Yi-jun, SUN Yi-ting, CHEN Yu, SUN Hua, MAO Li-xia, LIU Jia-qiang. Effect of pre-surgical orthodontic treatment on the position and morphology of articular disc and condyle of temporomandibular joint [J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(5): 439-444.
[12]	SUN Ming-yuan, YU Lei-lei, GU Ya-jie, XIA Di. The effect of quality control circle on improving the compliance of postoperative functional exercise in patients with temporomandibular joint disease [J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(4): 340-344.
[13]	YANG Ping-ping, XI Peng, WANG Jing, GUO Jin-jin, SHENG Guang, MAIMAITITUXUN Tuerdi. Clinical efficacy of intra-articular ozone gas bath therapy combined with physiotherapy on temporomandibular anterior disc displacement without reduction [J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(2): 121-125.
[14]	WAN Shao-nan, YIN Zhi-guo, XIE Qian-yang, LIU Zhi-yang, DONG Min-jun, SUN Qi, YANG Chi. The difference of MRI signal intensity between condyle and brain parenchyma in cases of temporomandibular joint disc displacement [J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(1): 36-39.
[15]	CHEN Guang-can, CHEN Min-jie, YANG Chi, WEI Wen-bin, WANG Yi-wen, LIU Zhi-yang. Application of pedicled deep temporal fascial fat flap in temporomandibular joint reconstruction: clinical analysis of 135 consecutive cases [J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(5): 412-416.