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Krainz, S; Schneider, MR; Bizjak, B; Wedrich, A.
Indirect traumatic optic neuropathy after bicycle crash
SPEKTRUM AUGENHEILKD. 2016; 30(3): 142-145. Doi: 10.1007/s00717-016-0301-1 [OPEN ACCESS]
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Leading authors Med Uni Graz: Krainz Sarah
Co-authors Med Uni Graz: Schneider Mona Regina; Stenitzer Bianca Sarah; Wedrich Andreas
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Abstract:: 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.
Find related publications in this database (Keywords): Optic nerve injuries; Traumatic optic neuropathy; Steroids; Optic atrophy