[Optic nerve trauma: case report of partial optic nerve avulsion]
1Service d'ophtalmologie, pôle médecine interne-ophtalmologie-ORL, CHU de Clermont-Ferrand, 58, rue Montalembert, 63003 Clermont-Ferrand, France. borelaudrey@yahoo.fr
Journal Francais D'Ophtalmologie
|February 5, 2013
Summary
Partial optic nerve avulsion from blunt eye trauma is rare. Prompt diagnosis and management, including vitrectomy and membrane peeling, are crucial for preserving vision in these severe cases.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Partial avulsion of the optic nerve head is a rare but severe complication following ocular blunt trauma.
- This condition requires careful consideration in patients presenting with eye injuries involving forced rotation.
Observation:
- A case report details a 28-year-old male with blunt ocular trauma from a basketball, resulting in decreased visual acuity and prepapillary hemorrhage.
- Initial management included observation of spontaneous hematoma dispersion, followed by vitrectomy due to persistent intravitreal hemorrhage and lack of visual recovery, confirming partial optic nerve avulsion.
Findings:
- The patient developed cicatricial gliosis, an infero-nasal scotoma, and later a macular epiretinal membrane.
- Surgical intervention, including vitrectomy and membrane peeling, led to partial recovery of visual acuity over a 3-year follow-up.
Implications:
- Optic nerve avulsion, though uncommon, necessitates prompt recognition and tailored treatment strategies.
- Close monitoring for complications and individualized management are key to optimizing visual outcomes in partial optic nerve avulsion cases.
