Facial Fracture Patterns Associated with Traumatic Optic Neuropathy

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Visual risks of facial fracture repair in the setting of traumatic optic neuropathy.

OBJECTIVE To identify whether facial fracture repair in patients with traumatic optic neuropathy results in visual deterioration. DESIGN A retrospective analysis was performed of all patients admitted from 1992 through 1997 with the diagnosis of facial fracture and traumatic optic neuropathy. Vision was recorded before and after fracture repair using logarithm of the minimum angle of resoluti...

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Persistent profound visual loss following contusion of the globe or ocular adnexae has been well documented, the visual loss being attributed to haemorrhage into, or contusion of, the optic nerve, or to interference with the blood supply of the eye. The patient described below presented after a contusion of the eye and orbit, with the clinical picture of ischaemic optic neuropathy presumably re...

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Indirect traumatic optic neuropathy

Indirect traumatic optic neuropathy (ITON) refers to optic nerve injury resulting from impact remote to the optic nerve. The mechanism of injury is not understood, and there are no confirmed protocols for prevention, mitigation or treatment. Most data concerning this condition comes from case series of civilian patients suffering blunt injury, such as from sports- or motor vehicle-related concu...

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Traumatic optic neuropathy.

Introduction: Traumatic optic nerve damage after craniofacial injury was first described by Hippocrates.1 Although the natural history of traumatic optic neuropathy is unknown, recent studies suggest that high dose steroids and, even surgical decompression of the optic canal or the nerve sheath (in cases of nerve sheath hematoma) may restore vision in selected patients.2-8 The commonest cause o...

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ژورنال

عنوان ژورنال: Craniomaxillofacial Trauma & Reconstruction

سال: 2019

ISSN: 1943-3875,1943-3883

DOI: 10.1055/s-0038-1641172