Traumatic avulsion of the optic nerve - case report

  • Katarina Janicijevic Faculty Medical Sciences, University of Kragujevac, Serbia
  • Mirjana Janicijevic Petrovic Faculty Medical Sciences, University of Kragujevac, Serbia
  • Sanja Kocic Faculty Medical Sciences, University of Kragujevac, Serbia
  • Snezana Radovanovic Faculty Medical Sciences, University of Kragujevac, Serbia

Sažetak


Optic nerve avulsion is a very rare but an extremely devastating complication of the eye injuries.  The optic nerve is violently disinserted of the retina, choroid and vitreous, and lamina cribrosa drawn from the scleral rim. We reported the case of the older male person, who attempted suicide by firing a gun in the region of the abdomen and the right temple. After the provided clinical assistance which consisted of removing the spleen and disposal stab wound to the abdomen, under the general anesthesia, followed by the operation of the right eye injured, or enucleation of the eyeball with the reconstruction of conjunctival sac. Right eye was enucleated ovum of the forensic expertise (the hystopathological examination) which confirmed the complete acute section of the optic nerve. The patient was connected to the resuscitation apparatus because of the acute deep coma and after seven days he died.

Keywords: attempted suicide, optic nerve, avulsion, enucleation, hystopathological examination

Reference

Ferreira MA, Espinhosa CT, Andreo EG, Finotti IG, de Oliveira LB. Acute post-traumatic optic nerve avulsion: case report. Arq Bras Oftalmol 2007; 70(2): 337-9.

Buchwald HJ, Spraul CW, Wagner P, Lang GK. Optic nerve evulsion: Metaanalysis. Klin Monatsbl Augenheilkd 2001; 218(10): 635-44.

Buchwald HJ, Otte P, Lang GE. Evulsion of the optic nerve following blunt bulbar trauma. Klin Monatsbl Augenheilkd 2003; 220(5): 303-8.

Roberts SP, Schaumberg DA, Thompson P. Traumatic avulsion of the optic nerve. Optom Vis Sci 1992; 69(9): 721-7.

Obuchowska I, Mariak Z, Sherkawey N. Clinical indications for enucleation-a review of the literature. Klin Oczna 2005; 107(1-3): 159-62.

Morris WR, Osborn FD, Fleming JC. Traumatic evulsion of the globe. Ophthal Plast Reconstr Surg 2002; 18(4): 261-7.

Sanborn GE, Gonder JR, Goldberg RE, Benson WE, Kessler S. Evulsion of the optic nerve: a clinicopathological study. Can J Ophthalmol 1984; 19(1): 10-6.

Rosenberg PN, Stasior OB. Optic nerve evulsion and transection. Adv Ophthalmic Plast Reconstr Surg 1987; 6(1): 63-9.

Taneja N, Dhaliwal U. Manual enucleation of both eyes during assault. Ophthalmic Surg Lasers Imaging 2006; 37(2): 158-60.

Obuchowska I, Mariak Z, Elmdhm S. Surgical technique and complications of enucleation. Klin Oczna 2005; 107(1-3): 163-6.

Objavljeno
2016/04/11
Rubrika
Prikaz