Optic Neuropathy with Delayed Onset After Trauma: Case Report and Review of the Literature

Kang, Kai; Jones, Scott T.; Ahmad, Amjad Z.; Moss, Heather E.

doi:10.1080/01658107.2016.1177091

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Ayrıca TON, künt travmayı takiben deforme edici stres kuvvetlerinin orbital kemiklerden optik kanaldaki optik sinire iletilmesi gibi dolaylı mekanizmalardan da kaynaklanabilir. 6 Bizim olgumuzda, hastanın dolaylı görme kaybı, kemik kırıkları, optik kanala dolaylı kuvvet iletimi sonucu optik sinir kılıfında ve sinirde hasarlanma oluştuğu öngörülmektedir. TON'ye bağlı görme bozukluğu, tam görme kaybı olan hastaların %10-22'sinde, kısmi görme kaybı olan hastaların %62'sinde başlangıçta sinsi seyredebilmektedir.…”

Section: Discussionunclassified

A Case with Traumatic Optic Neurpathy: When, What to Do?

Özen¹,

Botan²,

Gün³

et al. 2021

cayd

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Section: Discussionunclassified

A Case with Traumatic Optic Neurpathy: When, What to Do?

Özen¹,

Botan²,

Gün³

et al. 2021

cayd

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Traumatic Optic Neuropathy Aggravated by Orbital Emphysema after Orbital Fracture

Kim¹,

Park²,

Jeon³

et al. 2022

J Korean Ophthalmol Soc

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Purpose: To report a case of traumatic optic neuropathy aggravated by orbital emphysema after an orbital fracture.Case summary: A 19-year-old man with no specific medical history was referred for a right orbital fracture caused by blunt trauma to the supraorbital rim of the right eye. Computed tomography (CT) showed a right orbital fracture involving the inferomedial wall and inferomedial strut. The corrected visual acuity was 0.4 in the right eye (RE) and 1.0 in the left and the intraocular pressure was 15 and 18 mmHg, respectively. Restriction on downgaze, abduction, and an indefinite relative afferent pupillary defect (RAPD) were observed in the RE. Fundus exam was non-specific other than commotio retinae on the temporal side of the macula in the RE. After 12 hours post trauma, the visual acuity of the RE had decreased to light perception. Definite RAPD was observed with optic disc swelling on the fundus photo and optical coherence tomography. Orbital CT showed air shadows, which were not seen on the initial evaluation, adjacent to the optic disc. We diagnosed traumatic optic neuropathy aggravated by orbital emphysema. High-dose intravenous steroid was given for 3 days. Despite a lateral canthotomy and cantholysis to decompress the right orbit, visual acuity did not improve above counting fingers.Conclusions: Increased intraorbital pressure and congestion caused by orbital emphysema may exacerbate traumatic optic neuropathy. Therefore, close observation is required.

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Rare consequences of a single fist punch to the orbital region – a description of two cases = Rzadkie konsekwencje pojedynczego uderzenia pięścią w okolicę oczodołu – opis dwóch przypadków

Toruńska,

Engelgardt,

Szwajkowska

et al. 2024

AMSIK

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A direct punch with a clenched fist to the face most often results in soft tissue damage, which is usually not serious enough to be considered a severe health impairment. This article presents two cases in which a single punch to the orbital region led to a blowout fracture. The first case resulted in additional displacement of the right lens into the vitreous body, secondary glaucoma and retinal detachment. In the second case, the victim sustained retinal concussion and subretinal haemorrhage due to choroidal rupture at the level of the macula resulting in temporary, almost complete loss of vision. Such injuries, although possible, are not typical of the mechanism described. In both cases, the effects meet the legal definition of impairment of the functioning of a bodily organ or disturbance of health lasting longer than 7 days within the meaning of the relevant article of the Polish Penal Code. Additionally, in the second case, we deal with exposure to direct danger – loss of vision in one eye (another severe disability) within the meaning of the relevant articles of the Polish Penal Code

show abstract

Optic Neuropathy with Delayed Onset After Trauma: Case Report and Review of the Literature

Cited by 3 publications

References 14 publications

A Case with Traumatic Optic Neurpathy: When, What to Do?

A Case with Traumatic Optic Neurpathy: When, What to Do?

Traumatic Optic Neuropathy Aggravated by Orbital Emphysema after Orbital Fracture

Rare consequences of a single fist punch to the orbital region – a description of two cases = Rzadkie konsekwencje pojedynczego uderzenia pięścią w okolicę oczodołu – opis dwóch przypadków

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