Bilateral Retrobulbar Hemorrhage and Visual Loss Following Traumatic Asphyxia
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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.
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.
참고문헌 (12)
- Williams JS, "Traumatic asphyxia-- reappraised", Ann Surg, 167, pp.384~392 (1968)
- Heuer GJ, "Traumatic asphyxia with especial reference to its ocular and visual disturbances", Surg Gynecol Obstet, 36, pp.686~696 (1923)
- Parker FJ, "Optic atrophy from traumatic asphyxia with report of a case", Arch Ophthalmol, 11, pp.159~162 (1911)
- Purdy RH, "Temporary blindness associated with traumatic asphyxia", J Emerg Med, 6, pp.373~376 (1988)
- Shamblin JR, "Acute thoracic compression with traumatic asphyxia. Report of six cases", Arch Surg, 87, pp.967~975 (1963)
- Reichert FL, "Traumatic asphyxia: experimental and clinical observations with a report of a case with concomitant paraplegia", Ann Surg, 134, pp.361~368 (1951)
- Sandiford JA, "Traumatic asphyxia with severe neurological sequelae", J Trauma, 14, pp.805~810 (1974)
- Jongewaard WR, "Neurologic consequences of traumatic asphyxia", J Trauma, 32, pp.28~31 (1992)
- Macnab AJ, "Proptosis and diplopia following traumatic asphyxia", Ann Emerg Med, 16, pp.1289~1290 (1987)
- Baldwin GA, "Visual loss following traumatic asphyxia in children", J Trauma, 28, pp.557~558 (1988)
- Schabdach DG, "An animal model of visual loss from orbital hemorrhage", Ophthal Plast Reconstr Surg, 10, pp.200~205 (1994)
- Furuya Y, "Experimental traumatic asphyxia (1)--grades of thoracic compression and mortality", Igaku Kenkyu, 51, pp.117~119 (1981)