Traumatic Optic Neuropathy Prediction after Blunt Facial Trauma: Derivation of a Risk Score Based on Facial CT Findings at Admission

Radiology ◽  
2014 ◽  
Vol 272 (3) ◽  
pp. 824-831 ◽  
Author(s):  
Uttam K. Bodanapally ◽  
Giulia Van der Byl ◽  
Kathirkamanathan Shanmuganathan ◽  
Lee Katzman ◽  
Elena Geraymovych ◽  
...  
Keyword(s):  
Risk Score ◽  
Optic Neuropathy ◽  
Facial Trauma ◽  
Traumatic Optic Neuropathy ◽  
Ct Findings

scholarly journals Blunt Facial Trauma Causing Isolated Optic Nerve Hematoma

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
R. Parab ◽  
C. I. Fung ◽  
Gerrit Van Der Merwe
Keyword(s):  
Optic Nerve ◽  
Optic Neuropathy ◽  
Current Literature ◽  
Vision Loss ◽  
Early Recognition ◽  
Facial Trauma ◽  
Traumatic Optic Neuropathy ◽  
Rare Injury

Traumatic optic neuropathy is an uncommon, yet serious, result of facial trauma. The authors present a novel case of a 59-year-old gentleman who presented with an isolated blunt traumatic left optic nerve hematoma causing vision loss. There were no other injuries or fractures to report. This case highlights the importance of early recognition of this rare injury and reviews the current literature and management of traumatic optic neuropathy.

scholarly journals Traumatic Optic Neuropathy

2021 ◽  
Author(s):  
Neil R. Miller
Keyword(s):  
Optic Neuropathy ◽  
Cell Injury ◽  
Management Strategies ◽  
Facial Trauma ◽  
Traumatic Optic Neuropathy ◽  
Pattern Of Injury ◽  
Surgical Measures ◽  
Do No Harm ◽  
Secondary Injuries ◽  
High Index Of Suspicion

AbstractA host of different types of direct and indirect, primary and secondary injuries can affect different portions of the optic nerve(s). Thus, in the setting of penetrating as well as nonpenetrating head or facial trauma, a high index of suspicion should be maintained for the possibility of the presence of traumatic optic neuropathy (TON). TON is a clinical diagnosis, with imaging frequently adding clarification to the full nature/extent of the lesion(s) in question. Each pattern of injury carries its own unique prognosis and theoretical best treatment; however, the optimum management of patients with TON remains unclear. Indeed, further research is desperately needed to better understand TON. Observation, steroids, surgical measures, or a combination of these are current cornerstones of management, but statistically significant evidence supporting any particular approach for TON is absent in the literature. Nevertheless, it is likely that novel management strategies will emerge as more is understood about the converging pathways of various secondary and tertiary mechanisms of cell injury and death at play in TON. In the meantime, given our current deficiencies in knowledge regarding how to best manage TON, “primum non nocere” (first do no harm) is of utmost importance.

Traumatic optic neuropathy: facial CT findings affecting visual acuity

2015 ◽  
Vol 22 (4) ◽  
pp. 351-356 ◽  
Author(s):  
Ramachandra P. Reddy ◽  
Uttam K. Bodanapally ◽  
Kathirkamanathan Shanmuganathan ◽  
Giulia Van der Byl ◽  
David Dreizin ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Optic Neuropathy ◽  
Traumatic Optic Neuropathy ◽  
Ct Findings

scholarly journals Hemorrhage in Onodi Cell Leading to Traumatic Optic Neuropathy

2020 ◽  
pp. 194338752092202
Author(s):  
Aditi Mehta ◽  
Ramya Rathod ◽  
Chirag Ahuja ◽  
Manpreet Singh ◽  
Ramandeep S. Virk
Keyword(s):  
Computed Tomography ◽  
Optic Neuropathy ◽  
Vision Loss ◽  
Young Male ◽  
Facial Trauma ◽  
Traumatic Optic Neuropathy ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Onodi Cell

Traumatic optic neuropathy (TON) is an important cause of vision loss in the setting of cranial and/or facial trauma. Both direct and indirect variants exist, with the latter being more common. We describe the case of a young male presenting with loss of vision following trauma with an intact globe, an intraorbital foreign body, and Onodi cell hemorrhage. The challenges in diagnoses of type of TON, exact pathology, and management are discussed. We also highlight the role of thin section digital computed tomography imaging which is paramount for timely detection of subtle injuries and their management.

Endoscopic Transnasal Treatment of Traumatic Optic Neuropathy: Our Experience

Skull Base ◽  
2009 ◽  
Vol 19 (01) ◽  
Author(s):  
Francesca Simoncello ◽  
Paolo Castelnuovo ◽  
Maurizio Bignami ◽  
Cristhian Cambria ◽  
Giovanni Delù ◽  
...  
Keyword(s):  
Optic Neuropathy ◽  
Traumatic Optic Neuropathy

A study of surgical management of traumatic optic neuropathy

2019 ◽  
Vol 11 (2) ◽  
pp. 51-52
Author(s):  
G Thiruvengada Senthil Kumar ◽  
◽  
L Feroz Ahamed ◽  
Keyword(s):  
Surgical Management ◽  
Optic Neuropathy ◽  
Traumatic Optic Neuropathy

A study of medical management of traumatic optic neuropathy

2019 ◽  
Vol 11 (2) ◽  
pp. 46-47
Author(s):  
Thiruvengada Senthil kumar ◽  
◽  
L Feroz Ahamed ◽  
Keyword(s):  
Optic Neuropathy ◽  
Medical Management ◽  
Traumatic Optic Neuropathy

A study of role of VEP in traumatic optic neuropathy

2019 ◽  
Vol 11 (2) ◽  
pp. 40-41
Author(s):  
G Thiruvengada Senthil Kumar ◽  
◽  
L Feroz Ahamed ◽  
Keyword(s):  
Optic Neuropathy ◽  
Traumatic Optic Neuropathy

Traumatic optic neuropathy secondary to an intraoptic nerve foreign body

2003 ◽  
Vol 38 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Michelle L. Young ◽  
Khalid Sabti ◽  
Michael A. Kapusta
Keyword(s):  
Foreign Body ◽  
Optic Neuropathy ◽  
Traumatic Optic Neuropathy
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