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Related Experiment Video

Updated: Mar 1, 2026

Author Spotlight: Developing Precise and Clinically Relevant Models for Studying Secondary Degeneration in Traumatic Optic Neuropathy
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[Traumatic asphyxia with permanent visual loss. Case report].

Tibor Kántor1, Bianca Grigorescu2, Gabriel Popescu3

  • 1Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetem Marosvásárhely.

Orvosi Hetilap
|June 1, 2017
PubMed
Summary
This summary is machine-generated.

Traumatic asphyxia, a rare condition from thoracoabdominal trauma, can cause permanent vision loss due to optic nerve atrophy. Early ophthalmologic exams are crucial, especially for intubated patients.

Keywords:
asphyxiacompressive traumakompresszív traumalátásvesztésvisual loss

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Area of Science:

  • Trauma Surgery
  • Ophthalmology
  • Emergency Medicine

Background:

  • Traumatic asphyxia is a rare consequence of severe thoracoabdominal compression.
  • It presents with characteristic signs like subconjunctival hemorrhage and cervicofacial cyanosis.
  • Associated thoracic and abdominal injuries can be life-threatening.

Observation:

  • A case study of a 39-year-old male with compressive thoracoabdominal trauma is presented.
  • The patient exhibited the classic "ecchymotic mask" physical finding.
  • Despite surgical and intensive care, the patient sustained permanent vision loss.

Findings:

  • High retrograde venous pressure in the head and neck is implicated in neuronal ischemia.
  • This ischemia can lead to irreversible optic nerve atrophy and vision loss.
  • The case highlights a potential long-term neurological complication of traumatic asphyxia.

Implications:

  • Routine and early ophthalmologic examinations are vital for patients with traumatic asphyxia.
  • This is particularly important in intubated or uncooperative patients where assessment is challenging.
  • Prompt ophthalmic evaluation may help in early detection and management of vision-threatening complications.