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Avulsion of the Optic Nerve Head After Orbital Trauma
Nikolaos V. Tsopelas, MD;
Panagos G. Arvanitis, MD, EBOD
Athens, Greece
Arch Ophthalmol. 1998;116:394.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 23-YEAR-OLD man struck his left eye in a motor vehicle crash. He noted a complete loss of vision in the eye immediately after the accident. Ophthalmic examination within 1 hour of the injury revealed a visual acuity of 20/20 OD and no light perception OS. The right eye was normal. The left eye had mild edema, ecchymosis of the eyelids, and a small laceration of the upper eyelid. The ocular motility showed diminished elevation of the left eye. The left pupil was dilated and nonreactive. Slitlamp examination disclosed a mild subconjunctival hemorrhage without other anterior segment abnormalities. The intraocular pressure was 12 mm Hg. Ophthalmoscopy revealed complete avulsion of the left optic nerve head,1 associated with minimal vitreous hemorrhage (Figure 1). Neither the physical examination findings nor the computed tomographic scan findings indicated any intraocular foreign body or . . . [Full Text of this Article]COMMENT
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