Traumatic Optic Neuropathy and Central Retinal Artery Occlusion Following Blunt Ocular Trauma

Abstract

We present a case as a rare sign of traumatic optic neuropathy and central retinal artery occlusion following blunt ocular trauma. A 10-year-old child suffered complete loss of the vision of one eye following a blunt ocular injury. He sustained an occlusion of the central retinal artery and traumatic optic neurupathy of the affected eye. Isolated cases of central retinal vessel occlusions and traumatic optic neurapathy following ocular blunt trauma are rare conditions. Clinicians to be aware of the potential for blunt ocular trauma to cause optic nerve damage and retinal vessel occlusions.KeywordsBlunt ocular trauma; Retinal artery occlusion; Traumatic optic neuropathy

Traumatic optic neuropathy and central retinal artery occlusion following blunt trauma to the eyebrow

“…It is well known that blunt trauma to the lateral eyebrow causes optic nerve damage. Previously, isolated cases of CRAO and optic nerve damage following ocular trauma have been reported, although extremely rarely . To our knowledge, this is the second documentation of CRAO that developed on the few days after traumatic optic neuropathy following blunt trauma to the eyebrow.…”

Optic Canal Decompression and Direct Ophthalmic Artery Fibrinolysis for Traumatic Optic Neuropathy With Central Retinal Artery Occlusion

“…1 The intimal damage may have led to thrombotic events and arterial occlusion. The acute loss of vision is contributed to by both direct optic nerve injury as well as its vascular compromise.…”

“…The acute loss of vision is contributed to by both direct optic nerve injury as well as its vascular compromise. 1 Surgical decompression for traumatic neuropathy is currently performed using transcranial and endoscopic approaches. 6,7 The present study examines a minimally invasive transcaruncular-transorbital route, which provided an easy and safe access to the optic nerve and the ophthalmic artery.…”

“…It has been reported rarely with traumatic optic neuropathy following blunt trauma. 1,2 The use of superselective ophthalmic artery fibrinolysis has recently been described in cases of retinal vascular occlusion. [3][4][5] However, this may not be effective in the setting of an associated compressive optic neuropathy due to trauma.…”

Traumatic Optic Neuropathy—The Many Presentations and Treatment Options

“…CRAO associated with TON is rare and only a handful of case reports describe the two conditions occurring together, usually in the context of severe blunt eye trauma. 2,3 Therefore, the use of thrombolytic agents is only relevant to a very few cases of TON.…”