Traumatic optic neuropathy: a case report

Clinical eye and vision care Pub Date : 1999-08-20 Epub Date: 1999-10-25 DOI:10.1016/S0953-4431(99)00014-4
Lissa V. Rivero O.D , Charles Haskes O.D., M.S
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引用次数: 12

Abstract

Traumatic optic neuropathy (TON) is considered to be a true ophthalmic emergency. The National Acute Spinal Cord Injury Study 2 (NASCIS 2) established the current treatment protocol for the management of TON, which indicates that treatment should start within 8 h of injury. Therefore, diagnosis should be made as soon as possible. Traumatic optic neuropathy is a rare but potentially devastating complication of closed head injury. Knowledge concerning the pathophysiologic mechanisms of TON is limited. The optic nerve is a tract of the brain, therefore the cellular and biochemical pathophysiology of brain and spinal cord trauma and ischemia provide insight into the mechanisms that may operate in TON. The management of TON rests on an accurate diagnosis, which begins with a comprehensive clinical assessment and appropriate neuroimaging.

外伤性视神经病变1例
外伤性视神经病变(TON)被认为是真正的眼科急症。国家急性脊髓损伤研究2 (NASCIS 2)建立了目前治疗TON的治疗方案,该方案表明治疗应在损伤后8小时内开始。因此,应尽早诊断。外伤性视神经病变是一种罕见但具有潜在破坏性的闭合性颅脑损伤并发症。对TON的病理生理机制了解有限。视神经是大脑的一条神经束,因此脑和脊髓损伤和缺血的细胞和生化病理生理学提供了可能在TON中起作用的机制的见解。TON的治疗取决于准确的诊断,首先是全面的临床评估和适当的神经影像学检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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