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May 2011

Ultrasonographic Signs in Complete Optic Nerve Avulsion

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Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Ophthalmol. 2007;125(5):716. doi:10.1001/archopht.125.5.716

A 13-year-old boy sustained injury with a metal pipe to his right eye. The patient had no light perception in his right eye and visual acuity was 20/25 OS. A 4+ right afferent pupillary defect, normal intraocular pressures, chemosis, subconjunctival hemorrhage, and iritis were seen.

Dilated funduscopy (Figure 1) revealed avulsion of the right optic nerve and temporal retina. Vascular boxcarring was laid over pale, edematous retinal tissue. A dense hemorrhage obscured the nasal fundus.

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