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https://doi.org/10.20471/acc.2018.57.01.22

Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy

Snježana Kaštelan   ORCID icon orcid.org/0000-0002-3983-1157 ; Department of Ophthalmology, Dubrava University Hospital, Zagreb, Croatia
Antonela Gverović Antunica   ORCID icon orcid.org/0000-0002-9613-8033 ; Department of Ophthalmology, Dubrovnik General Hospital, Dubrovnik, Croatia
Jasminka Salopek Rabatić ; Department of Ophthalmology, Dubrava University Hospital, Zagreb, Croatia
Marta Gotovac ; Department of Ophthalmology, Požega General Hospital, Požega, Croatia
Darko Orešković ; Department of Neurosurgery, Dubrava University Hospital, Zagreb, Croatia
Boris Kasun ; Stubičke Toplice Special Hospital for Medical Rehabilitation, Stubičke Toplice, Croatia

Puni tekst: engleski, pdf (649 KB) str. 166-172 preuzimanja: 462* citiraj
APA 6th Edition
Kaštelan, S., Gverović Antunica, A., Salopek Rabatić, J., Gotovac, M., Orešković, D. i Kasun, B. (2018). Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy. Acta clinica Croatica, 57. (1.), 166-172. https://doi.org/10.20471/acc.2018.57.01.22
MLA 8th Edition
Kaštelan, Snježana, et al. "Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy." Acta clinica Croatica, vol. 57., br. 1., 2018, str. 166-172. https://doi.org/10.20471/acc.2018.57.01.22. Citirano 27.07.2021.
Chicago 17th Edition
Kaštelan, Snježana, Antonela Gverović Antunica, Jasminka Salopek Rabatić, Marta Gotovac, Darko Orešković i Boris Kasun. "Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy." Acta clinica Croatica 57., br. 1. (2018): 166-172. https://doi.org/10.20471/acc.2018.57.01.22
Harvard
Kaštelan, S., et al. (2018). 'Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy', Acta clinica Croatica, 57.(1.), str. 166-172. https://doi.org/10.20471/acc.2018.57.01.22
Vancouver
Kaštelan S, Gverović Antunica A, Salopek Rabatić J, Gotovac M, Orešković D, Kasun B. Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy. Acta clinica Croatica [Internet]. 2018 [pristupljeno 27.07.2021.];57.(1.):166-172. https://doi.org/10.20471/acc.2018.57.01.22
IEEE
S. Kaštelan, A. Gverović Antunica, J. Salopek Rabatić, M. Gotovac, D. Orešković i B. Kasun, "Traumatic Optic Neuropathy – Case Report with Discussion on Diagnostic Procedures and Therapy", Acta clinica Croatica, vol.57., br. 1., str. 166-172, 2018. [Online]. https://doi.org/10.20471/acc.2018.57.01.22

Sažetak
Traumatic optic neuropathy (TON) is a serious vision threatening condition that can be caused by ocular or head trauma. Indirect damage to the optic nerve is the most common form of TON occurring in 0.5% to 5% of all closed head trauma cases. Although the degree of visual loss after indirect TON may vary, approximately 50% of all patients are left with ‘light perception’ or ‘no light perception’ vision, making TON a significant cause of permanent vision loss. We present a 47-year-old male patient with a history of right eye keratoconus following a motorcycle crash. Visual acuity was of ‘counting fingers at 2 meters’ on the right eye due to keratoconus and ‘counting fingers at 1 meter’ on the left eye as a consequence of trauma. The Octopus visual field showed diffuse reduction in retinal sensitivity and the Ishihara color test indicated dysfunction of color perception on the left eye. Relative afferent pupillary defect was also present. Computed tomography revealed multifragmentary fracture of the frontal sinus and the roof of the left orbit without bone displacement. Based on the findings, conservative corticosteroid therapy without surgery was conducted. The patient responded well to treatment with complete ophthalmologic recovery.

Ključne riječi
Head injuries, closed; Optic nerve injuries; Eye injuries; Visual acuity; Diagnostic imaging; Keratoconus

Hrčak ID: 202232

URI
https://hrcak.srce.hr/202232

[hrvatski]

Posjeta: 876 *