Samardzic Kristian, Samardzic Josip, Janjetovic Zeljka, Samardzic Ivan, Sekelj Sandra, Latic-Hodzic Leila
General hospital Slavonski Brod,Croatia.
Acta Inform Med. 2012 Jun;20(2):131-2. doi: 10.5455/aim.2012.20.131-132.
We present a case of acute traumatic optic neuropathy in 54 year old male patient. The patient presented with acute loss of vision in the right eye due to a blunt trauma to the eye. Lid haematoma and subconjunctival hemorrhage were present. Fluorescein staining was negative, anterior chamber and lens was clear. Intraocular pressure was normal. Retina and optic nerve head appeared normal on fundoscopy. The vision was "counting fingers at 1 meter" in the right eye. Color test indicated color perception dysfunction of the right eye. Relative afferent pupillary defect (RAPD) was positive. Ocular ultrasound, orbital X ray and CT scan was normal, but visual evoked potentials test was pathologic. The consideration was made whether to treat a patient or not since there are no consensus on the treatment of traumatic optic neuropathy. We decided to treat the patient immediately with the megadoses of steroids following the protocol suggested by Cerovski. The patient responded well to the treatment and recovered vision to normal.
我们报告一例54岁男性急性外伤性视神经病变的病例。该患者因眼部钝挫伤出现右眼急性视力丧失。存在眼睑血肿和结膜下出血。荧光素染色阴性，前房和晶状体清晰。眼压正常。眼底检查视网膜和视神经乳头外观正常。右眼视力为“1米处数指”。色觉测试表明右眼存在色觉功能障碍。相对性传入瞳孔障碍（RAPD）阳性。眼部超声、眼眶X线和CT扫描均正常，但视觉诱发电位测试结果异常。由于外伤性视神经病变的治疗尚无共识，因此考虑是否对该患者进行治疗。我们决定按照Cerovski建议的方案立即用大剂量类固醇对患者进行治疗。患者对治疗反应良好，视力恢复正常。
