Choroidal rupture and optic nerve injury with equipment designated as ‘child-safe’

Petrarca, Robert; Saldaña, Manuel

doi:10.1136/bcr-2012-006476

Cited by 7 publications

(4 citation statements)

References 14 publications

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“…23,24 In such cases, choroidal rupture can be an accompanying feature. 25 Because of the severity of optic nerve and, often, intraocular damage that is usually associated with direct injury to the anterior optic nerve, the prognosis for anterior TON usually is poor in this setting, regardless of treatment. 26 The prognosis for anterior TON caused by indirect injury, however, is not as clear.…”

Section: Location Of Injurymentioning

confidence: 99%

Traumatic Optic Neuropathy

Miller

2021

J Neurol Surg B Skull Base

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A host of different types of direct and indirect, primary and secondary injuries can affect different portions of the optic nerve(s). Thus, in the setting of penetrating as well as nonpenetrating head or facial trauma, a high index of suspicion should be maintained for the possibility of the presence of traumatic optic neuropathy (TON). TON is a clinical diagnosis, with imaging frequently adding clarification to the full nature/extent of the lesion(s) in question. Each pattern of injury carries its own unique prognosis and theoretical best treatment; however, the optimum management of patients with TON remains unclear. Indeed, further research is desperately needed to better understand TON. Observation, steroids, surgical measures, or a combination of these are current cornerstones of management, but statistically significant evidence supporting any particular approach for TON is absent in the literature. Nevertheless, it is likely that novel management strategies will emerge as more is understood about the converging pathways of various secondary and tertiary mechanisms of cell injury and death at play in TON. In the meantime, given our current deficiencies in knowledge regarding how to best manage TON, “primum non nocere” (first do no harm) is of utmost importance.

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Section: Location Of Injurymentioning

confidence: 99%

Traumatic Optic Neuropathy

Miller

2021

J Neurol Surg B Skull Base

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“…[14][15][16][17] Other reported injuries include assault, 4,9,11,18 or trauma from a stone, 10,11,19,20 brick, 11 ice ball, 18 champagne cork, 4 elastic cord, 21 or other miscellaneous objects. 9,22,23 Choroidal rupture has been reported after a kick by a horse, 18 as well as after deployment of a car airbag. 24 They have been reported in neonates from forceps used during delivery.…”

Section: Causesmentioning

confidence: 98%

Choroidal Rupture

Patel¹,

Chee²,

Eliott³

2013

International Ophthalmology Clinics

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First described in 1854 by von Graefe, 1 a choroidal rupture is a break in the choroid, the Bruch membrane, and retinal pigment epithelium (RPE). Here, we review the causes, pathophysiological basis, clinical and imaging findings, complications, prognosis, and treatments for choroidal ruptures. ' CausesChoroidal ruptures have been reported in up to 5% to 10% of cases of blunt ocular trauma but can also occur in the setting of penetrating or perforating injuries. [2][3][4] In one study of 111 cases of choroidal rupture presenting at a single institution, 28% were due to open globe injuries, whereas 72% were due to closed globe injuries. 3 Patients with angioid streaks are at particularly high risk of choroidal rupture after trauma, owing to the brittle nature of their Bruch membrane. 5 Virtually any form of traumatic injury to the eye can result in choroidal ruptures. Sports injuries predominate in the literature, including injuries occurring during karate, 6 or caused by various sports equipment including a hockey puck, 7 soccer ball, 8 cricket ball, 9 basketball, 9 tennis ball, 10,11 golf ball, 12 baseball, 13 or paint ball.

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“…Anterior TON, either direct or indirect, causes swelling of the optical disc with other signs of optic neuropathy. As a result, it may lead to retinal ischemia, anterior ischemic optic neuropathy, central retinal vein occlusion, choroidal rupture, or a composite of this situation [ 37 ].…”

Section: Optic Nerve Injury Classificationmentioning

confidence: 99%

“…Mesenchymal stem cells derived from human umbilical cords (hUC-MSCs) have been investigated to treat some diseases, such as spinal cord injury, Parkinson’s disease, and cornea-related diseases [ 37 , 108 ]. A rat study has shown that intravitreal injection of human periodontal ligament-derived stem cells (PDLSCs) may improve RGC survival after optic nerve injury [ 109 ].…”

Section: Experimental Treatmentsmentioning

confidence: 99%

Traumatic Optic Neuropathy: Update on Management

2023

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Traumatic optic neuropathy is one of the causes of visual loss caused by blunt or penetrating head trauma and is classified as both direct and indirect. Clinical history and examination findings usually allow for the diagnosis of traumatic optic neuropathy. There is still controversy surrounding the management of traumatic optic neuropathy; some physicians advocate observation alone, while others recommend steroid therapy, surgery, or both. In this entry, we tried to highlight traumatic optic neuropathy’s main pathophysiologic mechanisms with the most available updated treatment. Recent research suggests future therapies that may be helpful in traumatic optic neuropathy cases.

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Choroidal rupture and optic nerve injury with equipment designated as ‘child-safe’

Cited by 7 publications

References 14 publications

Traumatic Optic Neuropathy

Traumatic Optic Neuropathy

Choroidal Rupture

Traumatic Optic Neuropathy: Update on Management

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