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Related Experiment Videos

Traumatic optic neuropathy. A case report.

P M Villarreal1, J C de Vicente, L M Junquera

  • 1Department of Oral and Maxillofacial Surgery, Hospital Central de Asturias, Oviedo, Spain. Junquera@sci.cpd.uniovi.es

International Journal of Oral and Maxillofacial Surgery
|February 26, 2000
PubMed
Summary

Cranio-maxillofacial trauma can cause visual loss. Surgical decompression of the optic nerve through a transethmoidal approach restored vision in a patient with traumatic optic neuropathy.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Trauma Surgery

Background:

  • Cranio-maxillofacial trauma can lead to significant visual impairment.
  • Traumatic optic neuropathy (TON) is a serious complication requiring prompt management.

Observation:

  • A patient presented with sudden partial blindness following cranio-maxillofacial trauma.
  • The trauma resulted in fractures of the orbital roof, medial, and lateral walls.

Findings:

  • A transethmoidal approach with a Howarth-Lynch medial incision was used to access the orbit.
  • Resection of bone fragments impinging on the optic nerve led to total return of visual acuity.
  • The patient experienced no surgical complications.

Implications:

Related Experiment Videos

  • Surgical optic nerve decompression can be effective in managing TON.
  • The indications for surgical intervention in TON remain controversial and require individualized assessment.
  • This case highlights a successful surgical outcome for visual recovery after severe trauma.