Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy

Kaštelan, Snježana; Antunica, Antonela Gverović; Rabatić, Jasminka Salopek; Gotovac, Marta; Orešković, Darko; Kasun, Boris

doi:10.20471/acc.2018.57.01.22

Cited by 3 publications

(6 citation statements)

References 16 publications

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“… 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 …”

Section: Resultsmentioning

confidence: 99%

“…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.…”

Section: Resultsmentioning

confidence: 99%

“…Four of the remaining 11 case reports describing neuro-ophthalmic injuries also described the same types of injuries observed by Keane et al 19 , 60 , 72 , 81 The other seven case reports described other neuro-ophthalmic manifestations secondary to motorcycle accidents, including bitemporal hemianopia secondary to traumatic chiasmal syndrome, permanent cortical blindness, traumatic optic neuropathy, optic nerve transection, and retrograde degeneration of retinal ganglion cells. 29 , 36 , 42 , 65 , 76 , 79 , 80 All but one of these case reports involved males, and all cases of neuro-ophthalmic injury were observed in adults ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Motorcycle-Associated Ocular Injuries: A Narrative Review

Kim¹,

Ganga²,

Kang³

et al. 2022

OPTH

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Purpose Motorcycle-related injuries involving the eye and orbit are not well characterized, with a paucity of prospective studies focusing specifically on motorcycle-associated eye injuries nor literature reviews having been conducted on the subject. To better understand the injury types and descriptive characteristics of patients experiencing motorcycle-associated eye injuries, we sought to conduct a narrative review. Methods The research team utilized the following databases: PubMed, EMBASE, and Web of Science to query for English articles from peer-reviewed journals that provided some patient data regarding eye injury due to motorcycle or moped accidents or usage. Results A total of 65 studies were included in our qualitative synthesis. Of these studies, 40 (61.5%) were case reports, 20 retrospective case series (30.8%), and five (7.69%) were observational prospective studies. Among the 25 retrospective and prospective studies, 12 (48.0%) of these studies primarily focused on motorcycle-associated injuries. These 65 studies described a wide variety of motorcycle-associated eye injuries, including but not limited to orbital fractures and associated sequelae, foreign bodies, vitreoretinal trauma, neuro-ophthalmic trauma, corneal injuries, open globe injuries, lacerations, and globe avulsions. Conclusion The current state of the literature indicates that knowledge regarding the ocular manifestations of motorcycle accidents is limited to mostly case reports and few retrospective cohort studies focused specifically on motorcycle-associated eye injuries. However, it is evident that the types of motorcycle-associated eye injuries are legion and predominantly seen in adult males, potentially leading to severe injuries and loss of vision and blindness.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Motorcycle-Associated Ocular Injuries: A Narrative Review

Kim¹,

Ganga²,

Kang³

et al. 2022

OPTH

View full text Add to dashboard Cite

show abstract

“…The rarity of TON and the compartment syndrome that may follow requires prompt treatment following injury. The decision to administer conservative therapy, intravenous steroids, decompressive surgery, or a combination of steroids and surgery remains based on a case-by-case approach [14]. Wu and colleagues [11] have advised treatment with methylprednisolone if a patient presents within 8 h of insult and optic canal decompression within 12-24 h of beginning medical treatment.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Optic Nerve Sheath Hematoma

Ghahramani

Camacci

Borkhetaria

et al. 2021

Case Rep Ophthalmol

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The aim of this report is to present a patient with traumatic optic nerve sheath hematoma (ONSH), a rare diagnosis with high potential for visual sequelae. This case involves a 41-year-old male who presented promptly following blunt trauma to the right eye and orbit that resulted in acute vision loss. Following computed tomography and ophthalmic examination, a diagnosis of ONSH was made and medical therapy with methylprednisolone was initiated. He reported significant improvements in visual symptoms following intravenous corticosteroid therapy. Although the patient reported significant improvements and had normal Snellen visual acuities in follow-up, he continued to have an inferior visual field defect at 1 week in the affected eye. ONSH causing subsequent localized compression of the optic nerve is a rare mechanism of traumatic optic neuropathy in patients following head trauma. The localized compartment syndrome of the optic nerve and subjective visual symptoms were relieved following corticosteroid therapy with no initial need for surgical decompression. Although central visual acuity returned to baseline, the patient had a persistent visual field defect and relative afferent pupillary defect.

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“…TON'nin mümkün olduğunca erken, özellikle ilk 8 saatte tanımlanmasının ve antiödem tedavinin başlanmasının tedavinin başarısı açısından önemli olduğu gösterilmiştir. 11 Bizim olgumuzda tanının daha geç konması ve pulse steroid tedavisine travma sonrası 10. günde başlanmasına rağmen hastanın görme işlevlerinde düzelme olmuştur. İyi bir solunum ve dolaşım desteğinin olması ve hematom etrafındaki beyin ödemi için başlanan deksametazon tedavilerinin katkısı olduğunu düşünüyoruz.…”

Section: Discussionunclassified