Department of Ophthalmology, New York University School of Medicine, New York, New York, U.S.A.
Ophthalmic Plast Reconstr Surg. 2019 Mar/Apr;35(2):e43-e45. doi: 10.1097/IOP.0000000000001312.
The authors describe the case of a 19-year-old female who suffered posttraumatic emphysema of the optic nerve sheath. She suffered massive head trauma requiring emergent neurosurgery and was incidentally found to have air in her optic nerve sheath on CT scan. At 6 weeks follow up, her visual acuity (20/25 uncorrected) and color perception in the affected eye were excellent. Her examination was notable for an afferent pupillary defect, mild disc pallor, and optic nerve atrophy on optical coherence tomography. This is a case of a patient with posttraumatic optic nerve sheath emphysema who recovered excellent visual function and received follow-up ophthalmic imaging.
作者描述了一例 19 岁女性患有创伤性视神经鞘气肿的病例。她遭受了严重的头部创伤，需要紧急神经外科手术，意外地在 CT 扫描中发现视神经鞘中有空气。6 周后随访时，她受影响眼的视力（未矫正时 20/25）和色觉均极佳。她的检查结果显示瞳孔传入缺陷、视盘轻度苍白和光相干断层扫描显示视神经萎缩。这是一例创伤性视神经鞘气肿患者，视力恢复良好，并接受了眼科随访成像。
