Optic Nerve Trauma with Prolonged Blindness Followed by Visual-Evoked Potential

Abstract

An accidental deep intraorbital penetration of a radio antenna tip damaged the optic nerve and caused immediate amaurosis in a 19-year-old female with normal fundus-copic, electroretinographic and computerized tomographic orbital findings. A small visual-evoked potential (VEP) recorded within 2 h of injury and in the following days revealed persistent electrical nerve conduction despite loss of vision and afferent pupillary reaction. The VEP constituted the only anticipating sign for the visual recovery which occurred after 3 days. Further increase of the VEP amplitudes preceded the visual improvement, resulting, finally, in 6/24 visual acuity with only lower nasal quadrant scotoma and slight optic disk pallor.