Traumatic optic neuropathy - Revision history

ClaireLewis at 21:49, 6 October 2019

2019-10-06T21:49:48Z

← Revisión anterior		Revisión del 21:49 6 oct 2019
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	==Clinical Features==		==Clinical Features==
	===History===		===History===
	*Acute unilateral vision loss, decreased color sensation, and/or visual field deficit after blunt or penetrating trauma		*Acute unilateral [[vision loss]], decreased color sensation, and/or [[visual field defects\|visual field deficit]] after blunt or penetrating trauma
	*Complaints may be delayed due to the impact of and treatment for other concomitant head injuries		*Complaints may be delayed due to the impact of and treatment for other concomitant head injuries

	===Physical Exam===		===Physical Exam===
	*External eye exam may show signs of orbital trauma or fracture (soft tissue edema, hematoma, step-off on palpation of orbital rim)		*External eye exam may show signs of [[orbital trauma]] or [[orbital fracture\|fracture]] (soft tissue edema, hematoma, step-off on palpation of orbital rim)
	*Decreased visual acuity and an afferent pupillary defect (in unilateral cases)		*[[vision loss\|Decreased visual acuity]] and an afferent pupillary defect (in unilateral cases)
	*On ~~funduscopy~~, the initial optic nerve head assessment will be normal; optic atrophy may be seen 3-6 weeks after trauma		*On [[fundoscopy]], the initial optic nerve head assessment will be normal; optic atrophy may be seen 3-6 weeks after trauma

	==Differential Diagnosis==		==Differential Diagnosis==
	*Posterior ischemic optic neuropathy		*Posterior ischemic optic neuropathy
	*Optic neuritis		*[[Optic neuritis]]
	*Optic nerve avulsion		*Optic nerve avulsion
	*Non-organic vision loss		*Non-organic vision loss
	*Pre-/intra-/~~subretinal~~ hemorrhage		*Pre-/intra-/sub[[retinal hemorrhage]]
	*Choroidal rupture		*Choroidal rupture
	*Commotio retinae		*Commotio retinae
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	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]
			[[Category:Trauma]]

Zipdoc at 06:22, 1 April 2017

2017-04-01T06:22:23Z

← Revisión anterior		Revisión del 06:22 1 abr 2017
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	<references/>		<references/>

	[[Category:~~Ophtho~~]]		[[Category:Ophthalmology]]

Zipdoc at 06:22, 1 April 2017

2017-04-01T06:22:11Z

← Revisión anterior		Revisión del 06:22 1 abr 2017
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	==References==		==References==
	<references/>		<references/>

			[[Category:Ophtho]]

Rossdonaldson1: /* Differential Diagnosis */

2017-03-30T10:14:50Z

Differential Diagnosis

← Revisión anterior		Revisión del 10:14 30 mar 2017
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	{{Acute vision loss noninflamed DDX}}		{{Acute vision loss noninflamed DDX}}

			{{Eye trauma}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2017-03-30T10:08:38Z

Differential Diagnosis

← Revisión anterior		Revisión del 10:08 30 mar 2017
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	*Choroidal rupture		*Choroidal rupture
	*Commotio retinae		*Commotio retinae
	*Traumatic iritis		*[[Traumatic iritis]]

			{{Acute vision loss noninflamed DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2017-03-30T10:06:31Z

Differential Diagnosis

← Revisión anterior		Revisión del 10:06 30 mar 2017
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	*Choroidal rupture		*Choroidal rupture
	*Commotio retinae		*Commotio retinae
			*Traumatic iritis

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Physical Exam */

2017-03-30T10:05:52Z

Physical Exam

← Revisión anterior		Revisión del 10:05 30 mar 2017
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	*External eye exam may show signs of orbital trauma or fracture (soft tissue edema, hematoma, step-off on palpation of orbital rim)		*External eye exam may show signs of orbital trauma or fracture (soft tissue edema, hematoma, step-off on palpation of orbital rim)
	*Decreased visual acuity and an afferent pupillary defect (in unilateral cases)		*Decreased visual acuity and an afferent pupillary defect (in unilateral cases)
	*On funduscopy, the initial optic nerve head assessment will be normal~~. Optic~~ atrophy may be seen 3-6 weeks after trauma.		*On funduscopy, the initial optic nerve head assessment will be normal; optic atrophy may be seen 3-6 weeks after trauma

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Evaluation */

2017-03-30T10:05:20Z

Evaluation

← Revisión anterior		Revisión del 10:05 30 mar 2017
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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	*Non-contrast head and face (including orbits) CT		*Non-contrast CT of head and face (including orbits)

	===Diagnosis===		===Diagnosis===

Rossdonaldson1: /* Differential Diagnosis */

2017-03-30T10:04:45Z

Differential Diagnosis

← Revisión anterior		Revisión del 10:04 30 mar 2017
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	==Differential Diagnosis==		==Differential Diagnosis==
	Posterior ischemic optic neuropathy~~<br>~~Optic neuritis~~<br>~~Optic nerve avulsion~~<br>~~Non-organic vision loss~~<br>~~Pre-/intra-/subretinal hemorrhage~~<br>~~Choroidal ~~Rupture <br>~~Commotio retinae~~<br>~~		*Posterior ischemic optic neuropathy
			*Optic neuritis
			*Optic nerve avulsion
			*Non-organic vision loss
			*Pre-/intra-/subretinal hemorrhage
			*Choroidal rupture
			*Commotio retinae

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* External Links */

2017-03-30T10:03:37Z

External Links

← Revisión anterior		Revisión del 10:03 30 mar 2017
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	==External Links==		==External Links==
	*[[http://eyewiki.aao.org/Traumatic_Optic_Neuropathy]]		*http://eyewiki.aao.org/Traumatic_Optic_Neuropathy

	==References==		==References==
	<references/>		<references/>