Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report
A 29-year-old man presented with a sudden loss of vision after a closed-globe injury. At presentation, he had no light perception in the right eye and the right pupil was dilated and nonreactive to light. On ophthalmological examination, the area of the optic nerve head was excavated, suggesting opt...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2022-06-01
|
| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/sheath-preserving-complete-optic-nerve-avulsion-fo/52332
|
| _version_ | 1828019793502928896 |
|---|---|
| author | Seray Şahin Onur Furundaoturan Mine Esen Barış Elif Demirkılınç Biler |
| author_facet | Seray Şahin Onur Furundaoturan Mine Esen Barış Elif Demirkılınç Biler |
| author_sort | Seray Şahin |
| collection | DOAJ |
| description | A 29-year-old man presented with a sudden loss of vision after a closed-globe injury. At presentation, he had no light perception in the right eye and the right pupil was dilated and nonreactive to light. On ophthalmological examination, the area of the optic nerve head was excavated, suggesting optic nerve avulsion. Magnetic resonance imaging scan showed optic nerve avulsion without rupture of the optic nerve sheath. Four months after the injury, the patient’s visual acuity remained unchanged. Gliosis developed at the avulsion site. Closed-globe injuries may cause severe posterior injury even if there is no anterior damage in the eye. To prevent unnecessary treatment, trauma patients should be examined carefully appropriate imaging to confirm the diagnosis. |
| first_indexed | 2024-04-10T11:26:18Z |
| format | Article |
| id | doaj.art-1fd09810bce9402f806a064370120899 |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T11:26:18Z |
| publishDate | 2022-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-1fd09810bce9402f806a0643701208992023-02-15T16:18:23ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612022-06-0152321621910.4274/tjo.galenos.2022.0586013049054Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case ReportSeray Şahin0Onur Furundaoturan1Mine Esen Barış2Elif Demirkılınç Biler3 Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye A 29-year-old man presented with a sudden loss of vision after a closed-globe injury. At presentation, he had no light perception in the right eye and the right pupil was dilated and nonreactive to light. On ophthalmological examination, the area of the optic nerve head was excavated, suggesting optic nerve avulsion. Magnetic resonance imaging scan showed optic nerve avulsion without rupture of the optic nerve sheath. Four months after the injury, the patient’s visual acuity remained unchanged. Gliosis developed at the avulsion site. Closed-globe injuries may cause severe posterior injury even if there is no anterior damage in the eye. To prevent unnecessary treatment, trauma patients should be examined carefully appropriate imaging to confirm the diagnosis. http://www.oftalmoloji.org/archives/archive-detail/article-preview/sheath-preserving-complete-optic-nerve-avulsion-fo/52332 traumatic optic nerve avulsionclosed globe injuriescomplete optic nerve avulsionoptic nerve sheath |
| spellingShingle | Seray Şahin Onur Furundaoturan Mine Esen Barış Elif Demirkılınç Biler Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report Türk Oftalmoloji Dergisi traumatic optic nerve avulsion closed globe injuries complete optic nerve avulsion optic nerve sheath |
| title | Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report |
| title_full | Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report |
| title_fullStr | Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report |
| title_full_unstemmed | Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report |
| title_short | Sheath-Preserving Complete Optic Nerve Avulsion Following Closed-Globe Injury: A Case Report |
| title_sort | sheath preserving complete optic nerve avulsion following closed globe injury a case report |
| topic | traumatic optic nerve avulsion closed globe injuries complete optic nerve avulsion optic nerve sheath |
| url |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/sheath-preserving-complete-optic-nerve-avulsion-fo/52332
|
| work_keys_str_mv | AT seraysahin sheathpreservingcompleteopticnerveavulsionfollowingclosedglobeinjuryacasereport AT onurfurundaoturan sheathpreservingcompleteopticnerveavulsionfollowingclosedglobeinjuryacasereport AT mineesenbarıs sheathpreservingcompleteopticnerveavulsionfollowingclosedglobeinjuryacasereport AT elifdemirkılıncbiler sheathpreservingcompleteopticnerveavulsionfollowingclosedglobeinjuryacasereport |