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Optic Neuropathy with Delayed Onset After Trauma: Case Report and Review of the Literature NEURO-OPHTHALMOLOGY Kang, K. B., Jones, S., Ahmad, A., Moss, H. E. 2016; 40 (4): 188-191

Abstract

We report a case of a 16 year-old healthy male, who experienced loss of vision in the right eye immediately after getting punched by a fist. His visual acuity improved to 20/20 within hours, and the optic nerve head appeared normal. CT scan of the orbits showed fractures of the right inferior orbital wall and lamina papyracea. The morning after the injury, he awoke with right eye vision decline to count fingers. There was pallid optic nerve swelling. MRI scan of the orbits showed right medial rectus enlargement and no optic canal abnormalities. The patient was treated with IV methylprednisolone with improvement in visual acuity. Literature of delayed traumatic optic neuropathy (TON) and anterior TON is reviewed.

View details for DOI 10.1080/01658107.2016.1177091

View details for Web of Science ID 000439344800005

View details for PubMedID 27570324

View details for PubMedCentralID PMC4996466