A case of traumatic avulsion of optic nerve head

Kazuhiro Noda, Kumiko Hirayama, Hiroyoshi Matsumoto, Keiko Arai, Noriko Maeno, Tatsuro Ishibashi

Research output: Contribution to journalArticlepeer-review

Abstract

A 32-month-old male infant fell from a 250 cm-high precipice and was hit on the head and face. When seen the same day, his left visual acuity was no light perception. His left cornea showed erosion. Vitreous hemorrhage was present anterior to the optic disc. The peripheral retina appeared discolored, suggesting central retinal artery occlusion. The vitreous hemorrhage became absorbed 21 months later. The optic disc was excavated and was covered by proliferative tissue. Fluorescein angiography showed perfusion in major retinal vessels. The left eye was diagnosed with traumatic avulsion of optic nerve head. This condition is characterized by difficulty in funduscopy and by grave visual prognosis. It has to be kept in mind in examining injury-related patients after injury.

Original languageEnglish
Pages (from-to)2095-2098
Number of pages4
JournalJapanese Journal of Clinical Ophthalmology
Volume58
Issue number12
Publication statusPublished - Nov 2004

All Science Journal Classification (ASJC) codes

  • Ophthalmology

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