PARTIAL AVULSION OF THE OPTIC NERVE HEAD: A CASE REPORT
Journal
Academic Medical journal
Date Issued
2025-07-18
Author(s)
Klenkoski, Suzana
Pandilov, Stefan
Ristovska Smichkovska, Ema
Abstract
Avulsion of the optic nerve is a rare but quite serious injury characterized by severe and permanent visual impairment. It is mainly encountered in the working-age population, with a male predominance.
In this paper, we describe the case of a 15-year-old patient who presented for an ophthalmological examination due to pain and sudden loss of vision in the left eye after an injury caused by a wooden object. Clinical and imaging examinations revealed a tissue defect at the level of the optic disc with surrounding intraretinal and preretinal hemorrhages and partial hemophthalmus in the central parts of the vitreous. A diagnosis of partial avulsion of the optic nerve papilla was made. The patient was evaluated over six months, during which there was a gradual resolution of the hemorrhages and a modest improvement in visual acuity.
This case indicates the seriousness of the problem and the need for appropriate prevention as the most effective strategy in its management.
In this paper, we describe the case of a 15-year-old patient who presented for an ophthalmological examination due to pain and sudden loss of vision in the left eye after an injury caused by a wooden object. Clinical and imaging examinations revealed a tissue defect at the level of the optic disc with surrounding intraretinal and preretinal hemorrhages and partial hemophthalmus in the central parts of the vitreous. A diagnosis of partial avulsion of the optic nerve papilla was made. The patient was evaluated over six months, during which there was a gradual resolution of the hemorrhages and a modest improvement in visual acuity.
This case indicates the seriousness of the problem and the need for appropriate prevention as the most effective strategy in its management.
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