CASE REPORT

OFTALMOLOGI : Jurnal Kesehatan Mata Indonesia, 30 Dec 2020 | 1
Year : 2021 | Volume: 3 | Issue: 2 | Pages : 1

An Optic Nerve Avulsion Due to A Gun Shot Injury: A Case Report

  • 1-, -, ID

To present a rare case of optic nerve avulsion due to gun shot injury.A 30-year-old man presented with sudden visual loss on the Right Eye (RE) after a gun shot on his left frontal bone. Hematoma, edema periorbital were presented on both eyes. There's conjunctival chemosis on the RE. RE visual acuity was NLP, pupil was dilated and nonreactive to light. Left eye's visual acuity was 1.0, other examinations was normal. B-scan USG of the RE showed hyperechoic image on the retinal projection in front of the optic nerve. CT-scan showed multiple metal density fractions in the subcortical cortical left frontal lobe and right retrobulbar. On funduscopic examination, there's bleeding in the inferior vitreous originating from the optic nerve papilae. Craniotomy, debridement, and corpus alienum extraction was done by neurosurgeon and plastic surgeon. High dose steroid was given. After a week of therapy, there's no improvement of his RE visual acuity.Optic nerve avulsion is a rare case with devastating results because there’s still no definite therapy to improve the outcome.

Keywords: traumatic optic neuropathy, optic nerve injury

Citation: *, ( 2021), An Optic Nerve Avulsion Due to A Gun Shot Injury: A Case Report

. OFTALMOLOGI : Jurnal Kesehatan Mata Indonesia, 3(2): 1

Received: 08/08/2021; Accepted: 08/08/2021;
Published: 11/04/2021

Edited by:

Dr.Ilmah Ilmah , Dr.Puranto Budi , ariawanp11@gmail.com ,

Reviewed by:

Dr.Dianita Veulina Ginting, , PMN RS Mata Cicendo,

Dr.Primawita Oktarima , , PMN RS Mata Cicendo, US

*Correspondence: Dr.Ilmah Ilmah, ilmahismail@yahoo.com