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Temporary blindness associated with traumatic asphyxia.

R H Purdy1, T H Cogbill, J Landercasper

  • 1Department of Surgery, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin 54601.

The Journal of Emergency Medicine
|September 1, 1988
PubMed
Summary
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Traumatic asphyxia, a rare condition from chest crush injuries, can cause temporary blindness. This vision loss likely results from temporary retinal vein hypertension and vasospasm.

Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Traumatic asphyxia is a rare syndrome characterized by craniocervical cyanosis, facial petechiae, and subconjunctival hemorrhages.
  • It occurs after severe crush injuries to the thorax.

Observation:

  • Ocular manifestations of traumatic asphyxia are seldom reported.
  • A 42-year-old male experienced temporary blindness following traumatic asphyxia.

Findings:

  • The patient's vision returned to normal within 24 hours.
  • The probable cause is transient retinal vein hypertension and reflex vasospasm.

Implications:

  • This case highlights a unique ocular finding in traumatic asphyxia.
  • Understanding the pathogenesis may aid in managing similar ocular complications.

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