A Case with Traumatic Optic Neurpathy: When, What to Do?

Traumatic optic neuropathy (TON) is characterized by impaired visual function due to acute damage to the optic nerve injury related to the trauma. The predictive incidence of TON in children and adolescence is 0.7-2.5% after blunt or penetrating head injuries. Orbital trauma is often accompanied by...

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Autores principales:	Hasan Özen, Edin Botan, Emrah Gün, Anar Gurbanov, Burak Balaban, Fevzi Kahveci, Huban Atilla, Ömer Suat Fitoz, Tanıl Kendirli
Formato:	article
Lenguaje:	EN TR
Publicado:	Galenos Yayinevi 2021
Materias:	trauma traumatic optic neuropathy child Medicine R Pediatrics RJ1-570 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/cd746651ab244edd86a3db7cdbc05544
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spelling	oai:doaj.org-article:cd746651ab244edd86a3db7cdbc055442021-11-23T10:20:16ZA Case with Traumatic Optic Neurpathy: When, What to Do?2146-23992148-733210.4274/cayd.galenos.2020.61587https://doaj.org/article/cd746651ab244edd86a3db7cdbc055442021-12-01T00:00:00Z http://www.caybdergi.com/archives/archive-detail/article-preview/a-case-with-traumatic-optic-neurpathy-when-what-to/49682 https://doaj.org/toc/2146-2399https://doaj.org/toc/2148-7332Traumatic optic neuropathy (TON) is characterized by impaired visual function due to acute damage to the optic nerve injury related to the trauma. The predictive incidence of TON in children and adolescence is 0.7-2.5% after blunt or penetrating head injuries. Orbital trauma is often accompanied by head injury and is the most common cause of unilateral vision loss. Here, we present a case of 11-year-old child who had the complaint of vision loss in the right eye and developed TON after a motor vehicle accident. The intubated patient was admitted to the pediatric intensive care unit after trauma and was operated due to epidural hemorrhage. Visual loss was detected during follow-up and orbital computed tomography revealed multiple fractures in the orbital walls and magnetic resonance imaging showed effusion of the optic nerve sheath and contrast enhancement of the optic nerve. Clinical and imaging findings suggested TON and as there was no indication for surgery, pulse steroid treatment was given for 5 days. With this treatment, the patient's vision loss and clinical findings improved significantly.In conclusion, TON should be considered in patients with a head injury and post-traumatic vision loss. High-dose steroids should be considered in suitable patients.Hasan ÖzenEdin BotanEmrah GünAnar GurbanovBurak BalabanFevzi KahveciHuban AtillaÖmer Suat FitozTanıl KendirliGalenos Yayineviarticletraumatraumatic optic neuropathychildMedicineRPediatricsRJ1-570Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTRJournal of Pediatric Emergency and Intensive Care Medicine, Vol 8, Iss 3, Pp 181-184 (2021)
institution	DOAJ
collection	DOAJ
language	EN TR
topic	trauma traumatic optic neuropathy child Medicine R Pediatrics RJ1-570 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	trauma traumatic optic neuropathy child Medicine R Pediatrics RJ1-570 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Hasan Özen Edin Botan Emrah Gün Anar Gurbanov Burak Balaban Fevzi Kahveci Huban Atilla Ömer Suat Fitoz Tanıl Kendirli A Case with Traumatic Optic Neurpathy: When, What to Do?
description	Traumatic optic neuropathy (TON) is characterized by impaired visual function due to acute damage to the optic nerve injury related to the trauma. The predictive incidence of TON in children and adolescence is 0.7-2.5% after blunt or penetrating head injuries. Orbital trauma is often accompanied by head injury and is the most common cause of unilateral vision loss. Here, we present a case of 11-year-old child who had the complaint of vision loss in the right eye and developed TON after a motor vehicle accident. The intubated patient was admitted to the pediatric intensive care unit after trauma and was operated due to epidural hemorrhage. Visual loss was detected during follow-up and orbital computed tomography revealed multiple fractures in the orbital walls and magnetic resonance imaging showed effusion of the optic nerve sheath and contrast enhancement of the optic nerve. Clinical and imaging findings suggested TON and as there was no indication for surgery, pulse steroid treatment was given for 5 days. With this treatment, the patient's vision loss and clinical findings improved significantly.In conclusion, TON should be considered in patients with a head injury and post-traumatic vision loss. High-dose steroids should be considered in suitable patients.
format	article
author	Hasan Özen Edin Botan Emrah Gün Anar Gurbanov Burak Balaban Fevzi Kahveci Huban Atilla Ömer Suat Fitoz Tanıl Kendirli
author_facet	Hasan Özen Edin Botan Emrah Gün Anar Gurbanov Burak Balaban Fevzi Kahveci Huban Atilla Ömer Suat Fitoz Tanıl Kendirli
author_sort	Hasan Özen
title	A Case with Traumatic Optic Neurpathy: When, What to Do?
title_short	A Case with Traumatic Optic Neurpathy: When, What to Do?
title_full	A Case with Traumatic Optic Neurpathy: When, What to Do?
title_fullStr	A Case with Traumatic Optic Neurpathy: When, What to Do?
title_full_unstemmed	A Case with Traumatic Optic Neurpathy: When, What to Do?
title_sort	case with traumatic optic neurpathy: when, what to do?
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/cd746651ab244edd86a3db7cdbc05544
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A Case with Traumatic Optic Neurpathy: When, What to Do?

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