Optic Nerve Avulsion After Finger-Poke Injury

J Neuroophthalmol. 2018 Mar;38(1):57-59. doi: 10.1097/WNO.0000000000000597.

Abstract

We present a case of optic nerve avulsion as a result of finger-poke injury to the eye. Spectral domain optical coherence tomography demonstrated a plunging cup indicative of the avulsion, a finding not previously described. Optic nerve avulsion is a form of anterior indirect traumatic optic neuropathy evoked by a sudden severe rotation at the junction of the optic nerve and globe induced, in this case, by penetration of the finger into the nasal orbit.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Eye Injuries, Penetrating / diagnosis
  • Eye Injuries, Penetrating / etiology*
  • Female
  • Fingers*
  • Humans
  • Optic Nerve Injuries / diagnosis
  • Optic Nerve Injuries / etiology*
  • Orbit / injuries*
  • Retinal Hemorrhage / etiology
  • Retinal Hemorrhage / physiopathology
  • Tomography, Optical Coherence
  • Vision Disorders / etiology
  • Vision Disorders / physiopathology
  • Visual Acuity / physiology
  • Water Sports / injuries*