Levent Göbel¹, Zeynep Erdem Kurt²*, İbrahim Arda Yılmaz³ and Mehmet Atila Argın²

¹Toros State Hospital, Mersin, Turkey ²Faculty of Medicine, Department of Ophthalmology, Mersin University, Mersin, Turkey ³Faculty of Medicine, Department of Neurology, Mersin University, Mersin, Turkey

*Corresponding Author: Zeynep Erdem Kurt, Faculty of Medicine, Department of Ophthalmology, Mersin University, Mersin, Turkey.

Received: September 05, 2023; Published: October 19, 2023

Abstract

A 54-year-old male patient who had a laceration on the left lower lid laterally due to a branch hitting his left eye while riding a motorcycle presented to our clinic. Initially, the best-corrected visual acuity was found to be 10/10 in the right eye and 1/10 in the left eye. There were no pathological findings in the right eye. Direct pupillary light reflex was very weak in the left eye, there was no levator palpebrae superioris muscle function, and there was limitation of elevation. The fundus examination of the left eye was normal. The patient was consulted with the neurology clinic. The patient's radiological imaging was evaluated as normal by the neurologist. The patient was diagnosed with traumatic optic neuropathy, traumatic ptosis, and limitation of elevation due to damage to the upper branch of the oculomotor nerve caused by the trauma. The patient was started on 1mg/kg prednisolone therapy per day, and the plan was to taper the treatment by 5 mg every three days. Neuropraxia, which is defined as the temporary inability of the nerve to function without axonal loss, is usually a condition that improves within 6-8 weeks. Partial or complete loss of function in the optic nerve following direct or indirect trauma is called traumatic optic neuropathy (TON).

Keywords: Isolated Traumatic Neurogenic Ptosis; Neurogenic Ptosis; Oculomotor Nerve; Optic Neuropathy; Traumatic Optic Neuropathy

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Citation

Citation: Zeynep Erdem Kurt., et al. “Isolated Neurogenic Traumatic Ptosis and Traumatic Optic Neuropathy as a Result of Blunt Trauma: A Rare Case Report" Acta Scientific Clinical Case Reports 4.11 (2023): 23-26.

Copyright

Copyright: © 2023 Zeynep Erdem Kurt., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.