Indirect Trauma Presenting as Post Traumatic Neuropathy Resulting in Decrease of Vision 4 Days Post Trauma: A Case Report

Journal Title: Ophthalmology and Vision Science - Year 2017, Vol 1, Issue 2

Abstract

Post Traumatic optic neuropathy occurs usually after a direct or indirect trauma leading to a visual pathway insult. This insult can cause vision loss due to various trauma sequelae along the visual pathway; either pre-chiasmal or post-chiasmal lesions. This case report documented a patient who complained of left sided decrease in vision 4 days post trauma. Patient was thoroughly investigated with regular neurologist consultations. CT Scans showed multiple fractures in various regions of the skull vault and orbit, as well as a bilateral frontal lobe hemorrhage with compression on the right optic nerve on an MRI. Patient was started on oral steroids and referred to a neurologist who kept him under observation with conservative treatment. This report highlights the significance of following up a trauma patient (especially of indirect trauma) and keeping them under strict observation with regular radiological intervention as soon as possible. It is very rare that a patient can present with diminution in vision more than 24 hours after trauma but it has never been reported that a patient presented with vision loss 4 days post trauma.

Authors and Affiliations

Syed Shahmeer Raza, Hana Rehman, Asfandiar Shahrukh Hijaz, Salman Zahid, Haris Manan, Tayyaba Ayaz, Osamah Riaz Khan, Aimal Shah, Zahid Majeed, Sayyed Jalawan Asjad

Keywords

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  • EP ID EP402107
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How To Cite

Syed Shahmeer Raza, Hana Rehman, Asfandiar Shahrukh Hijaz, Salman Zahid, Haris Manan, Tayyaba Ayaz, Osamah Riaz Khan, Aimal Shah, Zahid Majeed, Sayyed Jalawan Asjad (2017). Indirect Trauma Presenting as Post Traumatic Neuropathy Resulting in Decrease of Vision 4 Days Post Trauma: A Case Report. Ophthalmology and Vision Science, 1(2), 85-88. https://europub.co.uk/articles/-A-402107