Optic Nerve Head Avulsion

file Retina Image Bank

File number: 27351


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    • By Shachi Desai
      The Eye Centre
      Co-author(s): Dr Tejas Desai
    • Uploaded on Sep 4, 2017.
    • Last modified by Caroline Bozell on Sep 5, 2017.
    Rating
    Appears in
    Optic nerve avulsion
    Condition/keywords
    optic nerve head, trauma, blunt trauma
    Photographer
    Dr Shachi Desai
    Imaging device
    Fundus camera
    zeiss visucam
    Description
    Fundus photograph of 35-year-old male with history of trauma from metal rod during road traffic accident. Patient presented with complaint of complete loss of vision in right eye. Relative afferent pupillary defect and absence of light perception were suggestive of optic nerve involvement. On ophthalmoscopic examination, media was hazy due to vitreous hemorrhage. There was large retinal tear surrounding the probable position of optic nerve head with edematous ischemic retina. Excavated area with hemorrhage at optic nerve head was suggestive of optic nerve head avulsion.

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