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[Traumatic lesion of the optic nerve head by flying fish: a case report].
- Source :
-
Klinische Monatsblatter fur Augenheilkunde [Klin Monbl Augenheilkd] 2004 May; Vol. 221 (5), pp. 410-3. - Publication Year :
- 2004
-
Abstract
- Background: Traumatic lesion to the optic nerve often leads to severe and persistent functional loss.<br />History and Signs: A male patient was transferred to our hospital from the University Eye Clinic of Guadeloupe 5 days after ocular injury caused by a flying fish. Visual function was light perception. The anterior part of the eye and retina were unremarkable. A computer tomography disclosed a fracture of the sphenoid sinus, with a little bone fragment (DD: foreign body) located close to the optic nerve.<br />Therapy and Outcome: Therapy had been started with Aminopenicillin combined with clavulan acid (Augmentin) i. v., 500 ml methylprednisolone (Solumedrol) i. v., lysine-acetyl salicylate (Aspegic) and topical application of dexamethasone combined with neomycin/polymyxin B (Maxitrol). We continued this therapy and intensified it by adding nimodipine (Nimotop) 30 1-1-1 and acetazolamide retard (Diamox sustet) 1-0-1. Unfortunately visual function did not recover under therapy.<br />Conclusions: Traumatic lesions of the optic nerve head, especially when due to axial or tangential forces, can lead to severe and irreversible functional loss. Severe traumatic lesions, even bone fractures induced by flying fish are not a seldom encounter in the Caribbean Sea.
- Subjects :
- Acetazolamide therapeutic use
Adult
Amoxicillin-Potassium Clavulanate Combination therapeutic use
Animals
Contusions drug therapy
Contusions etiology
Dexamethasone therapeutic use
Drug Combinations
Drug Therapy, Combination
Eye Foreign Bodies drug therapy
Eye Foreign Bodies etiology
Eye Injuries drug therapy
Eye Injuries etiology
Fishes
Fluorescein Angiography
Fluprednisolone therapeutic use
Follow-Up Studies
Humans
Male
Methylprednisolone therapeutic use
Neomycin therapeutic use
Nimodipine therapeutic use
Polymyxin B therapeutic use
Skull Fractures drug therapy
Skull Fractures etiology
Tomography, X-Ray Computed
Visual Acuity
Contusions diagnosis
Eye Foreign Bodies diagnosis
Eye Injuries diagnosis
Optic Disk injuries
Skull Fractures diagnosis
Sphenoid Sinus injuries
Subjects
Details
- Language :
- German
- ISSN :
- 0023-2165
- Volume :
- 221
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Klinische Monatsblatter fur Augenheilkunde
- Publication Type :
- Academic Journal
- Accession number :
- 15162294
- Full Text :
- https://doi.org/10.1055/s-2004-812879