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Partial evulsion of the optic nerve.

W V Delaney1, M Geiss

  • 1Eye Research Institute of Central New York, Syracuse.

Annals of Ophthalmology
|October 1, 1988
PubMed
Summary
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Blunt trauma caused partial optic nerve avulsion in a boy, who retained good vision. Macular elevation from a cerebrospinal fluid leak resolved spontaneously within two weeks.

Area of Science:

  • Ophthalmology
  • Neuroscience
  • Trauma Care

Background:

  • Blunt ocular trauma can lead to severe visual impairment.
  • Optic nerve avulsion is a rare but serious injury.
  • Macular edema can result from various retinal insults.

Observation:

  • A 12-year-old male presented with partial optic nerve avulsion following blunt trauma.
  • Despite the optic nerve injury, the patient maintained good visual acuity.
  • Ophthalmoscopy revealed macular elevation, suspected to be due to cerebrospinal fluid leakage.

Findings:

  • The macular elevation, likely caused by cerebrospinal fluid (CSF) leaking from the optic disc margin beneath the neurosensory retina, showed spontaneous resolution.
  • The patient's good vision was preserved despite the partial optic nerve avulsion.

Related Experiment Videos

  • The spontaneous resolution of the macular edema suggests a self-limiting process.

    • Implications:

    • This case highlights the potential for preserved vision even with significant optic nerve trauma.
    • Cerebrospinal fluid leakage as a cause of macular edema in optic nerve avulsion is a critical consideration.
    • Prompt recognition and monitoring are essential for managing such rare traumatic optic nerve injuries.