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[Optic nerve evulsion: Metaanalysis].

H J Buchwald1, C W Spraul, P Wagner

  • 1Universitäts-Augenklinik Ulm, Prittwitzstr. 43, 89075 Ulm.

Klinische Monatsblatter Fur Augenheilkunde
|November 14, 2001
PubMed
Summary
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Optic nerve evulsion, a rare traumatic optic neuropathy, results from blunt trauma. Most injuries involve direct eye impact or severe head trauma, leading to optic nerve rupture and potential visual field defects.

Area of Science:

  • Ophthalmology
  • Neurology
  • Trauma Science

Context:

  • Optic nerve evulsion is a rare but severe form of traumatic optic neuropathy.
  • It involves the rupture of the optic nerve at the optic disc without sheath damage.
  • This injury is typically associated with blunt force trauma to the skull or eye.

Purpose:

  • To review and analyze existing literature on optic nerve evulsion.
  • To identify common mechanisms of injury, patient demographics, and associated visual field defects.
  • To understand the pathogenesis of optic nerve evulsion.

Summary:

  • A literature review identified 63 cases of optic nerve evulsion (mean age 22 years).
  • Complete evulsion occurred in 65% of patients, with blunt eye trauma (49%) and severe head trauma (30%) being primary causes.

Related Experiment Videos

  • Partial evulsion was linked to superior or inferonasal visual field defects.

    • Impact:

    • Highlights blunt eye and head trauma as key risk factors for optic nerve evulsion.
    • Provides insights into the relationship between injury mechanism and visual field deficits.
    • Contributes to understanding the pathophysiology of traumatic optic neuropathies.