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Posttraumatic Venous Obstructive Retinopathy Associated With Enlarged Optic Nerve Sheath

Posttraumatic Venous Obstructive Retinopathy Associated With Enlarged Optic Nerve Sheath Abstract • A case of posttraumatic unilateral enlargement of the optic nerve sheath associated with a venous obstructive retinopathy and progressive visual loss responded with marked improvement in visual function after nerve sheath decompression. Indirect (closed-head) trauma may be related to the progressive nerve sheath enlargement, venous obstructive retinopathy, and progressive visual loss. It is apparent that a venous stasis retinopathy can result from a posttraumatic optic nerve sheath lesion. Prompt recognition by echographic and/or roentgenographic investigation and subsequent decompression may be curative. References 1. Smith JL, Hoyt WF, Newton TH: Optic nerve sheath decompression for relief of chronic monocular choked disc . Am J Ophthalmol 1969; 68:633-639. 2. Holt H: Cysts of the intracranial portion of the optic nerve . Am J Ophthalmol 1966;61:1166-1170. 3. Saari M, Mustonen E, Palva A, et al: Arachnoid cyst of the intraorbital portion of the optic nerve with unilateral disc edema and transient shallowing of the anterior chamber . Acta Ophthalmol 1977;55:959-964.Crossref 4. Miller NR, Green WR: Arachnoid cysts involving a portion of the intraorbital optic nerve . Arch Ophthalmol 1975;93:1117-1121.Crossref 5. Wolter JR, McKenney MJ: Collateral hyperplasia and cyst formation of orbital leptomenix . Am J Ophthalmol 1964;57:1037-1042. 6. Harris GJ, Sacks JG, Weinberg PE, et al: Cyst of the intraorbital optic nerve sheaths . Am J Ophthalmol 1976;81:656-660. 7. Jonasson F, Cullen JF: Axonal transport injury caused by diving . Am J Ophthalmol 1982; 94:813-815.Crossref 8. Glaser JS: Topical diagnosis: Prechiasmal visual pathways , in Duane TD (ed): Clinical Ophthalmology , Hagerstown, Md, Harper & Row Publishers Inc, 1982, pp 43-65. 9. Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology , Baltimore, Williams & Wilkins Co, 1969, pp 2375-2381. 10. Gross CE, Dekock JR, Panje WR, et al: Evidence for orbital deformation that may contribute to monocular blindness following minor frontal head trauma . J Neurosurg 1981;55:963-966.Crossref 11. Benes SC, Kansu T, Savino PJ, et al: Ocular manifestations of arachnoid cysts , in Glaser JS (ed): Neuro-ophthalmology Symposium of the University of Miami and the Bascom Palmer Eye Institute . St Louis, CV Mosby Co, 1980, vol 10, chap 10. 12. Rengachary SS, Watanabe I: Ultrastructure and pathogenesis of intracranial arachnoid cysts . J Neuropathol Exp Neurol 1981;40:61-83.Crossref 13. Grollmus JM, Wilson CB, Newton TH: Paramesencephalic arachnoid cysts . Neurology 1976;26:128-134.Crossref 14. Dyck P, Gruskin P: Supratentorial arachnoid cysts in adults . Arch Neurol 1977;34:276-279.Crossref 15. Varma TRK, Sedzimir CB, Miles JB: Posttraumatic complications of arachnoid cysts and temporal lobe agenesis . J Neurol Neurosurg Psychiatry 1981;44:29-34.Crossref 16. Hayreh SS: Optic disc edema in raised intracranial pressure . Arch Ophthalmol 1977; 95:1553-1565.Crossref 17. Radius RL, Anderson DR: Morphology of axonal transport abnormalities in primate eyes . Br J Ophthalmol 1981;65:767-777.Crossref 18. Tso MO, Hayreh SS: Optic disc edema in raised intracranial pressure . Arch Ophthalmol 1977;95:1458-1462.Crossref 19. Hayreh SS: Occlusion of the central retinal vessels . Br J Ophthalmol 1965;49:626-645.Crossref 20. Hayreh SS: So-called 'central retinal vein occlusion' I and II . Ophthalmologica 1976;172:1-37.Crossref 21. Laatikainen L, Kohner EM: Fluorescein angiography and its prognostic significance in central retinal vein occlusion . Br J Ophthalmol 1976;60:411-418.Crossref 22. Vasco-Posada J: Modification of the circulation in the posterior pole of the eye . Ann Ophthalmol 1972;4:48-59. 23. Keltner JL, Albert DM, Lublow M, et al: Optic nerve decompression . Arch Ophthalmol 1977;95:97-104.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Posttraumatic Venous Obstructive Retinopathy Associated With Enlarged Optic Nerve Sheath

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References (28)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040030204027
Publisher site
See Article on Publisher Site

Abstract

Abstract • A case of posttraumatic unilateral enlargement of the optic nerve sheath associated with a venous obstructive retinopathy and progressive visual loss responded with marked improvement in visual function after nerve sheath decompression. Indirect (closed-head) trauma may be related to the progressive nerve sheath enlargement, venous obstructive retinopathy, and progressive visual loss. It is apparent that a venous stasis retinopathy can result from a posttraumatic optic nerve sheath lesion. Prompt recognition by echographic and/or roentgenographic investigation and subsequent decompression may be curative. References 1. Smith JL, Hoyt WF, Newton TH: Optic nerve sheath decompression for relief of chronic monocular choked disc . Am J Ophthalmol 1969; 68:633-639. 2. Holt H: Cysts of the intracranial portion of the optic nerve . Am J Ophthalmol 1966;61:1166-1170. 3. Saari M, Mustonen E, Palva A, et al: Arachnoid cyst of the intraorbital portion of the optic nerve with unilateral disc edema and transient shallowing of the anterior chamber . Acta Ophthalmol 1977;55:959-964.Crossref 4. Miller NR, Green WR: Arachnoid cysts involving a portion of the intraorbital optic nerve . Arch Ophthalmol 1975;93:1117-1121.Crossref 5. Wolter JR, McKenney MJ: Collateral hyperplasia and cyst formation of orbital leptomenix . Am J Ophthalmol 1964;57:1037-1042. 6. Harris GJ, Sacks JG, Weinberg PE, et al: Cyst of the intraorbital optic nerve sheaths . Am J Ophthalmol 1976;81:656-660. 7. Jonasson F, Cullen JF: Axonal transport injury caused by diving . Am J Ophthalmol 1982; 94:813-815.Crossref 8. Glaser JS: Topical diagnosis: Prechiasmal visual pathways , in Duane TD (ed): Clinical Ophthalmology , Hagerstown, Md, Harper & Row Publishers Inc, 1982, pp 43-65. 9. Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology , Baltimore, Williams & Wilkins Co, 1969, pp 2375-2381. 10. Gross CE, Dekock JR, Panje WR, et al: Evidence for orbital deformation that may contribute to monocular blindness following minor frontal head trauma . J Neurosurg 1981;55:963-966.Crossref 11. Benes SC, Kansu T, Savino PJ, et al: Ocular manifestations of arachnoid cysts , in Glaser JS (ed): Neuro-ophthalmology Symposium of the University of Miami and the Bascom Palmer Eye Institute . St Louis, CV Mosby Co, 1980, vol 10, chap 10. 12. Rengachary SS, Watanabe I: Ultrastructure and pathogenesis of intracranial arachnoid cysts . J Neuropathol Exp Neurol 1981;40:61-83.Crossref 13. Grollmus JM, Wilson CB, Newton TH: Paramesencephalic arachnoid cysts . Neurology 1976;26:128-134.Crossref 14. Dyck P, Gruskin P: Supratentorial arachnoid cysts in adults . Arch Neurol 1977;34:276-279.Crossref 15. Varma TRK, Sedzimir CB, Miles JB: Posttraumatic complications of arachnoid cysts and temporal lobe agenesis . J Neurol Neurosurg Psychiatry 1981;44:29-34.Crossref 16. Hayreh SS: Optic disc edema in raised intracranial pressure . Arch Ophthalmol 1977; 95:1553-1565.Crossref 17. Radius RL, Anderson DR: Morphology of axonal transport abnormalities in primate eyes . Br J Ophthalmol 1981;65:767-777.Crossref 18. Tso MO, Hayreh SS: Optic disc edema in raised intracranial pressure . Arch Ophthalmol 1977;95:1458-1462.Crossref 19. Hayreh SS: Occlusion of the central retinal vessels . Br J Ophthalmol 1965;49:626-645.Crossref 20. Hayreh SS: So-called 'central retinal vein occlusion' I and II . Ophthalmologica 1976;172:1-37.Crossref 21. Laatikainen L, Kohner EM: Fluorescein angiography and its prognostic significance in central retinal vein occlusion . Br J Ophthalmol 1976;60:411-418.Crossref 22. Vasco-Posada J: Modification of the circulation in the posterior pole of the eye . Ann Ophthalmol 1972;4:48-59. 23. Keltner JL, Albert DM, Lublow M, et al: Optic nerve decompression . Arch Ophthalmol 1977;95:97-104.Crossref

Journal

Archives of Ophthalmology – American Medical Association

Published: Feb 1, 1984

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