Bilateral Retrobulbar Hemorrhage and Visual Loss Following Traumatic Asphyxia.
10.3341/kjo.2010.24.6.380
- Author:
Young Joo CHOI
1
;
Sung Ju LEE
;
Hyung Jin KIM
;
Jin Ho YIM
Author Information
1. Department of Ophthalmology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea. yimjinho@hanmail.net
- Publication Type:Case Reports
- Keywords:
Optic nerve atrophy;
Retrobulbar hemorrhage;
Traumatic asphyxia;
Visual loss
- MeSH:
Asphyxia/*complications/*etiology;
Female;
Humans;
Ischemia/complications;
Middle Aged;
Optic Nerve/blood supply;
Retrobulbar Hemorrhage/*complications/*etiology/radiography;
Thoracic Injuries/*complications;
Tomography, X-Ray Computed;
Vision Disorders/*etiology
- From:Korean Journal of Ophthalmology
2010;24(6):380-383
- CountryRepublic of Korea
- Language:English
-
Abstract:
Retrobulbar hemorrhage and permanent visual loss are rare presentations following traumatic asphyxia. In this case, bilateral permanent visual disturbance developed in a woman after chest-crushing trauma without direct trauma to the orbits. A computed tomography scan confirmed bilateral retrobulbar hemorrhages. An ophthalmologic exam revealed bilateral subconjunctival hemorrhages and severe lid edema. Despite high-dose steroid therapy, visual recovery was limited, and optic nerve atrophy developed. Ischemia of the optic nerve associated with retrobulbar hemorrhage may be postulated as one of the causes of permanent visual impairment following traumatic asphyxia.
