Indirect traumatic optic neuropathy after bicycle crash

被引：0

作者：

Krainz S. ^{[1
]}

Schneider M.R. ^{[1
]}

Bizjak B. ^{[1
]}

Wedrich A. ^{[1
]}

机构：

[1] Universitätsaugenklinik, Medizinische Universität Graz, Auenbruggerplatz 4, Graz

来源：

Spektrum der Augenheilkunde | 2016年 / 30卷 / 3期

关键词：

Optic atrophy; Optic nerve injuries; Steroids; Traumatic optic neuropathy;

D O I：

10.1007/s00717-016-0301-1

中图分类号：

学科分类号：

摘要：

We report on a 34-year-old male patient, who suffered from an orbital fracture and had no light perception after a bicycle crash. By funduscopy we found a peripapillary subretinal hemorrhage and a traumatic optic neuropathy was diagnosed. His visual acuity recovered just a few hours after the crash without special therapy and was 0,4 the next day. Two months later his visual acuity was 0,63 and the optic nerve showed signs of atrophy. Throughout the last years many studies and case series were published regarding high-dose steroid therapy in cases of traumatic optic neuropathy. There is a relatively high rate of spontaneous visual recovery and currently there is no convincing data that steroids provide any additional benefit over observation alone. An overview of these studies shows the controversial debate about high dose steroid therapy. Our case confirms that spontaneous partial recoveries occur. © 2016, The Author(s).

引用

页码：142 / 145

页数：3

共 11 条

[1] Yu-Wai-Man P., Griffiths P.G., Steroids for traumatic optic neuropathy, Cochrane Database Syst Rev, 6, (2013)
[2] Wang B.H., Robertson B.C., Girotto J.A., Et al., Traumatic optic neuropathy: a review of 61 patients, Plast Reconstr Surg, 107, 7, pp. 1655-1664, (2001)
[3] Carta A., Ferrigno L., Salvo M., Bianchi-Marzoli S., Boschi A., Carta F., Visual prognosis after indirect traumatic optic neuropathy, J Neurol Neurosurg Psychiatry, 74, 2, pp. 246-248, (2003)
[4] Bracken M.B., Shepard M.J., Collins W.F., Et al., A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal-cord injury. results of the second national acute spinal cord injury study, N Engl J Med, 322, 20, pp. 1405-1411, (1990)
[5] Levin L.A., Beck R.W., Joseph M.P., Seiff S., Kraker R., The treatment of traumatic optic neuropathy: the international optic nerve trauma study, Ophthalmology, 106, 7, pp. 1268-1277, (1999)
[6] Kenneth D., Steinsapir M.D., Treatment of traumatic optic neuropathy with high-dose Corticosteroid, J Neuroophthalmol, 26, pp. 65-67, (2006)
[7] Entezari M., Rajavi Z., Sedighi N., Daftarian N., Sanagoo M., High-dose intravenous methylprednisolone in recent traumatic optic neuropathy
[8] a randomized double-masked placebo-controlled clinical tiral, Graefes Arch Clin Exp Ophthalmol, 245, 9, pp. 1267-1271, (2007)
[9] Entezari M., Esmaeili M., Yaseri M., A pilot study oft the effect of intravenous erythropoietin on improvement of visual function in patients with recent indirect traumatic optic neuropathy, Graefes Arch Clin Exp Ophthalmol, 252, pp. 1309-1313, (2014)
[10] Zhu Q., Liu Z., Wang C., Et al., Lentiviral-mediated growth-associated protein-43 modification of bone marrow mesenchymal stem cells improves traumatic optic neuropathy in rats, Mol Med Rep, 12, 4, pp. 5691-5700, (2015)

← 1 2 →