Acta clinica Croatica, Vol. 64. No. 1, 2025.
Book review
https://doi.org/10.20471/acc.2025.64.01.18
Unilateral Optic Neuropathy After Compressive Thoracic Injury: A Case Report
Branimir Cerovski
; Zagreb University Hospital Center, Department of Ophthalmology, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Tomislav Vidović
; Zagreb University Hospital Center, Department of Ophthalmology, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Smiljka Popović Suić
; Zagreb University Hospital Center, Department of Ophthalmology, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Ivan Škegro
orcid.org/0000-0003-2872-7351
; Zagreb University Hospital Center, Department of Ophthalmology, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
*
* Corresponding author.
Abstract
Compressive thorax injury is mostly observed in road traffic accidents which lead to
multiple traumas. Eye findings after thoracic injury can be Purtscher’s retinopathy, Valsalva retinopathy,
and even blindness. We report a rare case of unilateral optic neuropathy associated with compressive
chest injury. In our case, a 31-year-old construction worker developed irreversible optic nerve damage
after ground collapsed on him and buried him up to his neck. There was no evidence of head trauma
and blood loss, but multislice computed tomography showed diffuse brain edema caused by prolonged
hypoxia due to compression of the thorax.
Keywords
Brain edema; Compressive thorax injury; Hypoxia; Optic neuropathy
Hrčak ID:
335780
URI
Publication date:
31.3.2025.
Visits: 620 *