Management of traumatic optic neuropathy with coexistent spinal cord injury: A case report

Motorcycle-Associated Ocular Injuries: A Narrative Review

“… Yes Orbital Fractures Chen et al 40 2012 Taiwan Low Retrospective Case Series Chang Gung Memorial Hospital, 1999–2009 To describe the epidemiology of traumatic retrobulbar hematomas at a single center No Orbital Fractures Haug et al 41 2000 United States Low Retrospective Case Series Level 1 Kentucky Trauma Center, 1992–1998 To describe the epidemiology and management of the trochlea of the superior oblique muscle when repairing orbital roof trauma at a single center. No Orbital Fractures Sherman et al 42 1997 United States N/A Case Report N/A To describe the management of traumatic optic neuropathy secondary to motorcycle accidents. Yes Neuro Ophthalmic Jabaut et al 43 2017 United States N/A Case Report N/A To present a case of mandibular degloving and other associated facial trauma after a motorcycle accident.…”

“… It was found that no individuals with optic nerve injury recovered to their baseline visual acuity, and those with ocular motor manifestations had variable recovery. Case Reports Kal et al 19 Male 22 Abducens nerve palsy and Horner Syndrome Cannot be Determined Sinawat et al 29 Male 47 Cortical blindness Bilateral loss of visual acuity Ahmad Fauzi et al 36 Male 20 Bitemporal hemianopia secondary to traumatic chiasmal syndrome Unilateral loss of visual acuity Sherman et al 42 Male 31 Traumatic optic neuropathy Bilateral loss of visual acuity Gotfried et al 60 Female 45 Ptosis caused by complete third nerve palsy Cannot be Determined Vien et al 65 Male 25 Transsynaptic retrograde degeneration and homonymous hemianopsia Full recovery of VA Alderazi et al 72 Male 45 Right carotid-cavernous fistula Cannot be Determined Meena et al 76 Male 41 Optic nerve transection Unilateral blindness Kastelan et al 79 Male 47 Traumatic optic neuropathy Full recovery of VA …”

“…A total of 12 studies were identified that described neuro-ophthalmic manifestations secondary to motorcycle accidents. 19 , 29 , 36 , 42 , 47 , 60 , 65 , 72 , 76 , 79–81 Only one of these 12 studies was not a case report and described the neuro-ophthalmic complications associated with motorcycle and moped accidents observed in two centers over an 18-year period. 47 This study described 94 motorcycle-associated neuro-ophthalmic injuries and 2 moped-associated neuro-ophthalmic injuries.…”

Symptom Burden in Persons With Spinal Cord Injury

“…25 Kreutzer et al 26 performed neuropsychologic testing in 30 consecutive SCI patients with no obvious traumatic brain injury and found problems in visual learning, verbal learning, visual organization, and attention. 27,28 Sherman et al 29 reported a case of traumatic optic neuropathy documented by magnetic resonance imaging in a man with T4 paraplegia after a motorcycle crash who denied any loss of consciousness. Vaccaro et al 30 similarly reported a case of delayed cortical blindness in a patient with a C1 burst fracture (that resolved somewhat after cervical fusion).…”

Is comorbidity related to the independence of patients with spinal cord injury?

“…Although a rare loss of vision has been defined in the literature, many comorbid conditions can accompany it [12]. Considering the low prevalence of vision and hearing problems in the literature, the ratio of ophthalmological and otolaryngologic problems in our example was particularly striking [13][14][15]. We think that the high rate of ophthalmological and otolaryngologic problems seen in our study may be associated with aging (e.g., presbyopia, cataracts, senile hearing loss).…”