Head trauma with contralateral traumatic optic neuropathy

{Figure 1} Noncontrast computed tomography (NCCT) using a high-resolution algorithm in coronal and sagittal reconstructions revealed a continuous fracture line running obliquely from the right to the left side involving the superomedial margin of the right orbit, along the floor of the anterior cran...

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Bibliographic Details
Published in:Oman journal of ophthalmology 2013, Vol.6 (1), p.61-62
Main Authors: Takkar, Brijesh, Singh, Digvijay, Saxena, Rohit, Menon, Vimla
Format: Article
Language:English
Subjects:
Clinical Image
Eyes & eyesight
Fractures
Head injuries
Ophthalmology
Therapy
Trauma
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Summary:{Figure 1} Noncontrast computed tomography (NCCT) using a high-resolution algorithm in coronal and sagittal reconstructions revealed a continuous fracture line running obliquely from the right to the left side involving the superomedial margin of the right orbit, along the floor of the anterior cranial fossa to involve the left optic canal with a mildly thickened optic nerve [Figure 2]. Unexpectedly, this fracture line continued to run through the opposite optic canal resulting in left optic neuropathy, sparing the right optic nerve, with the result that the patient maintained normal visual acuity and a normal visual field in the right eye.
ISSN:0974-620X
0974-7842
DOI:10.4103/0974-620X.111925