Reversible visual loss due to impacted lateral orbital wall fractures

Head & Neck ◽  
1989 ◽  
Vol 11 (4) ◽  
pp. 295-300 ◽  
Author(s):  
Gerry F. Funk ◽  
Robert B. Stanley ◽  
Terry S. Becker
1981 ◽  
Vol 12 (3) ◽  
pp. 203-209
Author(s):  
William N Gillum ◽  
Richard L Anderson

1982 ◽  
Vol 62 (1-2) ◽  
pp. 91-94 ◽  
Author(s):  
A. Shaked ◽  
M. Hadani ◽  
M. Feinsod

2013 ◽  
Vol 20 (3) ◽  
Author(s):  
Sayantan Ray ◽  
Dibbendhu Khanra ◽  
Nikhil Sonthalia ◽  
Manjari Saha ◽  
Arunansu Talukdar

2020 ◽  
Vol 2 (1) ◽  
pp. 18-22
Author(s):  
Karuna Tamrakar Karki ◽  
Pankaj Raj Nepal

Background and purpose: Orbital manifestation in traumatic brain injury though uncommon, is one of the major complications of traumatic brain injury that has to be addressed judiciously to prevent permanent visual loss. Material and Methods: 211 patients who underwent CT for traumatic brain injury in between September to December 2019 were prospectively examined for the orbital manifestation. Patients who had undergone CT head including orbit with 3D face RECON were only included in our study to remove the bias between fracture line and suture in plain CT scan. CT imaging was evaluated to identify and subtype the orbital fracture.  Results: Total number of patients was 28, with mean age of 33.82 (SD 17.15) years. Majority of the patients were male which accounted 79% of sample size. There was 78% mild head injury followed by 18% and 4% moderate and severe head injury respectively. The most common type involved among all were blow out fracture and lateral orbital wall fracture. Clinically vision was abnormally around 21% of the cases, abnormal papillary reaction was seen in 25% of the cases around 93% of the cases had raccoon eye at the time of presentation. There was proptosis in around 14% of the patients and subconjunctival hemorrhage was seen in around 93% of the cases. Around 79% of the patients had intact vision at the time of presentation and 3.6% of the patients improved their vision during the course of treatment. Complete globe disruption who required evisceration of the eyeball was 10.7% and those who had abnormal vision at the time of presentation, 7.1% that did not improve their vision. Conclusions: orbital manifestations with either type of orbital fracture in traumatic brain injury are useful for the prediction of severity of orbital injury and its clinical outcome. This helps to identify patients in high risk and start early treatment to prevent permanent visual loss.


1983 ◽  
Vol 91 (6) ◽  
pp. 691-694 ◽  
Author(s):  
C. Henry Larson ◽  
Warren Y. Adkins ◽  
J. David Osguthorpe

Cephalalgia ◽  
2006 ◽  
Vol 26 (11) ◽  
pp. 1275-1286 ◽  
Author(s):  
BM Grosberg ◽  
S Solomon ◽  
DI Friedman ◽  
RB Lipton

Retinal migraine is usually characterized by attacks of fully reversible monocular visual loss associated with migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with retinal migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, retinal migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting <1 h, ipsilateral to the headache. Nearly half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the ICHD-2 diagnostic criteria for retinal migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the retinal migraine spectrum, perhaps representing an ocular form of migrainous infarction. Based on this observation, the authors recommend migraine prophylactic treatment in an attempt to prevent permanent visual loss, even if attacks are infrequent. We also propose a revision to the ICHD-2 diagnostic criteria for retinal migraine.


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