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Evulsion of the retina associated with optic nerve evulsion
Authors:D F Williams  G A Williams  G W Abrams  A Jesmanowicz  J S Hyde
Affiliation:1. Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin;2. Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin;1. National Taiwan University Hospital and National Taiwan University, Taipei, Taiwan;2. Guangdong Lung Cancer Institute, Guangdong General Hospital and Guangdong Academy of Medical Sciences, Guangzhou, China;3. West German Cancer Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany;4. Johann Wolfgang Goethe University Medical Center, Frankfurt am Main, and University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany;5. Royal Marsden Hospital, London, UK;6. Wakayama Medical University, Wakayama, Japan;7. Shanghai Pulmonary Hospital, Tongji University, Shanghai, China;8. Xiangya Hospital, Central South University, Changsha, China;9. Princess Alexandra Hospital and Queensland University of Technology, Australia;10. Jiangsu Province Cancer Hospital, Nanjing, Jiangsu, China;11. Shanghai Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China;12. Yunnan Tumor Hospital (The Third Affiliated Hospital of Kunming Medical University), Kunming, Yunnan Province, China;13. Prince of Songkla University, Songkhla, Thailand;14. Department of Internal Medicine, Konkuk University Medical Center, Seoul, South Korea;15. Taipei Veterans General Hospital, Taipei, Taiwan;p. FSBI “N N Blokhin Russian Cancer Research Centre”, Russian Academy of Medical Sciences, Moscow, Russia;q. McGill University, Montreal, Canada;r. Institut de Cancérologie de l''Ouest-site René Gauducheau, Nantes, France;s. Pavlov State Medical University, St Petersburg, Russia;t. State Key Laboratory of South China, Hong Kong Cancer Institute, The Chinese University of Hong Kong, Hong Kong, China;u. Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia;v. National Cheng Kung University Hospital, Tainan, Taiwan;w. Chungbuk National University Hospital, Cheongju, South Korea;x. Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan;y. Boehringer Ingelheim Ltd UK, Bracknell, Berkshire, UK;z. Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA;1. LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York;2. Vitreous Retina Macula Consultants of New York, New York, New York;3. Department of Ophthalmology, New York University School of Medicine, New York, New York;4. Centre for Ophthalmology and Visual Science, Lions Eye Institute, University of Western Australia, Perth, Australia;5. Department of Biostatistics, Columbia University Medical Center, New York, New York;1. Quinze-Vingts National Ophthalmology Hospital, Paris, France;2. French National Institute of Health and Medical Research, UPMC University Paris, Institut de la Vision, CNRS, Paris, France;3. Clinical Center for Investigations, Paris, France;4. Espace Nouvelle Vision, Paris, France;5. Ambroise Paré Hospital, APHP, University of Versailles St-Quentin en Yvelines, Versailles, France;1. Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania;2. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania;1. School of Optometry & Vision Science, Centre for Ocular Research & Education (CORE), University of Waterloo, Waterloo, Ontario, Canada;2. Centre for Ocular Research & Education (CORE), University of Waterloo, Waterloo, Ontario, Canada;3. School of Optometry and Vision Science, UNSW, Sydney, Australia;4. The University of Manchester, Manchester, UK;5. University of Alabama at Birmingham, Birmingham, AL, USA
Abstract:
We examined two patients with optic nerve evulsion as well as nasal peripapillary retinal and retinal pigment epithelial evulsion after ocular trauma. Fluorescein angiography demonstrated an intact peripapillary choriocapillaris, loss of peripapillary retina and retinal pigment epithelium, and complete disruption of retinal perfusion. We have postulated a mechanism for traumatic peripapillary retinal evulsion involving severe anterior displacement and abduction of the globe that may explain how the disruptive force was transmitted to the nasal retinal nerve fiber layer. We have provided a clinical correlation with magnetic resonance imaging of the optic nerve and globe of a normal individual.
Keywords:
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