Optic Disc Edema and Posterior Globe Flattening Secondary to Ocular Hypotony: Case Report and Discussion Regarding Pathophysiology and Clinical Findings
We describe a case of a young female patient presenting with ocular hypotension (4 mm Hg) secondary to cyclodialysis, and optic disc edema (ODE) after a blunt trauma in the right eye (right eye). MRI showed posterior globe flattening of the right eye, drawing our attention to the pathophysiology beh...
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| Veröffentlicht in: | Journal of neuro-ophthalmology 2021-06, Vol.41 (2), p.e220-e222 |
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| container_title | Journal of neuro-ophthalmology |
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| creator | Albano de Guimarães, Juliana Teixeira, Gabriela Carneiro Silva, Taiane Kelly Lima da Moura, Frederico Castelo |
| description | We describe a case of a young female patient presenting with ocular hypotension (4 mm Hg) secondary to cyclodialysis, and optic disc edema (ODE) after a blunt trauma in the right eye (right eye). MRI showed posterior globe flattening of the right eye, drawing our attention to the pathophysiology behind these findings. The combination of ODE and posterior globe flattening, as observed in the present case of ocular hypotony, is known from other conditions such as intracranial hypertension and space-flight neuro-ocular syndrome, pointing to a common pathophysiological mechanism, possibly resulting from axoplasmic stasis at the level of the lamina cribrosa due to a high translaminar pressure difference. |
| doi_str_mv | 10.1097/WNO.0000000000001095 |
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MRI showed posterior globe flattening of the right eye, drawing our attention to the pathophysiology behind these findings. The combination of ODE and posterior globe flattening, as observed in the present case of ocular hypotony, is known from other conditions such as intracranial hypertension and space-flight neuro-ocular syndrome, pointing to a common pathophysiological mechanism, possibly resulting from axoplasmic stasis at the level of the lamina cribrosa due to a high translaminar pressure difference.</description><identifier>ISSN: 1070-8022</identifier><identifier>EISSN: 1536-5166</identifier><identifier>DOI: 10.1097/WNO.0000000000001095</identifier><identifier>PMID: 33105416</identifier><language>eng</language><publisher>PHILADELPHIA: Journal of Neuro-Ophthalmology</publisher><subject>Adult ; Clinical Neurology ; Eye Injuries - complications ; Eye Injuries - diagnosis ; Female ; Humans ; Intracranial Pressure - physiology ; Intraocular Pressure - physiology ; Life Sciences & Biomedicine ; Magnetic Resonance Imaging ; Neurosciences & Neurology ; Ocular Hypotension - complications ; Ocular Hypotension - diagnosis ; Ocular Hypotension - physiopathology ; Ophthalmology ; Papilledema - diagnosis ; Papilledema - etiology ; Science & Technology ; Wounds, Nonpenetrating - complications ; Wounds, Nonpenetrating - diagnosis</subject><ispartof>Journal of neuro-ophthalmology, 2021-06, Vol.41 (2), p.e220-e222</ispartof><rights>Journal of Neuro-Ophthalmology</rights><rights>2020 by North American Neuro-Ophthalmology Society</rights><rights>Copyright © 2020 by North American Neuro-Ophthalmology Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>3</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000711821700039</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c4015-418f84098d9e721a95af6de1f4423770159c0eb8578750d4986e4b1928a390963</citedby><cites>FETCH-LOGICAL-c4015-418f84098d9e721a95af6de1f4423770159c0eb8578750d4986e4b1928a390963</cites><orcidid>0000-0002-7949-6832</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf><![CDATA[$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&PDF=y&D=ovft&AN=00041327-202106000-00047$$EPDF$$P50$$Gwolterskluwer$$H]]></linktopdf><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00041327-202106000-00047$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>315,781,785,4610,27929,27930,39263,64671,65466</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33105416$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albano de Guimarães, Juliana</creatorcontrib><creatorcontrib>Teixeira, Gabriela Carneiro</creatorcontrib><creatorcontrib>Silva, Taiane Kelly Lima da</creatorcontrib><creatorcontrib>Moura, Frederico Castelo</creatorcontrib><title>Optic Disc Edema and Posterior Globe Flattening Secondary to Ocular Hypotony: Case Report and Discussion Regarding Pathophysiology and Clinical Findings</title><title>Journal of neuro-ophthalmology</title><addtitle>J NEURO-OPHTHALMOL</addtitle><addtitle>J Neuroophthalmol</addtitle><description>We describe a case of a young female patient presenting with ocular hypotension (4 mm Hg) secondary to cyclodialysis, and optic disc edema (ODE) after a blunt trauma in the right eye (right eye). 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Teixeira, Gabriela Carneiro ; Silva, Taiane Kelly Lima da ; Moura, Frederico Castelo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4015-418f84098d9e721a95af6de1f4423770159c0eb8578750d4986e4b1928a390963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Clinical Neurology</topic><topic>Eye Injuries - complications</topic><topic>Eye Injuries - diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Pressure - physiology</topic><topic>Intraocular Pressure - physiology</topic><topic>Life Sciences & Biomedicine</topic><topic>Magnetic Resonance Imaging</topic><topic>Neurosciences & Neurology</topic><topic>Ocular Hypotension - complications</topic><topic>Ocular Hypotension - diagnosis</topic><topic>Ocular Hypotension - physiopathology</topic><topic>Ophthalmology</topic><topic>Papilledema - diagnosis</topic><topic>Papilledema - etiology</topic><topic>Science & Technology</topic><topic>Wounds, Nonpenetrating - complications</topic><topic>Wounds, Nonpenetrating - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albano de Guimarães, Juliana</creatorcontrib><creatorcontrib>Teixeira, Gabriela Carneiro</creatorcontrib><creatorcontrib>Silva, Taiane Kelly Lima da</creatorcontrib><creatorcontrib>Moura, Frederico Castelo</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuro-ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albano de Guimarães, Juliana</au><au>Teixeira, Gabriela Carneiro</au><au>Silva, Taiane Kelly Lima da</au><au>Moura, Frederico Castelo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optic Disc Edema and Posterior Globe Flattening Secondary to Ocular Hypotony: Case Report and Discussion Regarding Pathophysiology and Clinical Findings</atitle><jtitle>Journal of neuro-ophthalmology</jtitle><stitle>J NEURO-OPHTHALMOL</stitle><addtitle>J Neuroophthalmol</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>41</volume><issue>2</issue><spage>e220</spage><epage>e222</epage><pages>e220-e222</pages><issn>1070-8022</issn><eissn>1536-5166</eissn><abstract>We describe a case of a young female patient presenting with ocular hypotension (4 mm Hg) secondary to cyclodialysis, and optic disc edema (ODE) after a blunt trauma in the right eye (right eye). MRI showed posterior globe flattening of the right eye, drawing our attention to the pathophysiology behind these findings. The combination of ODE and posterior globe flattening, as observed in the present case of ocular hypotony, is known from other conditions such as intracranial hypertension and space-flight neuro-ocular syndrome, pointing to a common pathophysiological mechanism, possibly resulting from axoplasmic stasis at the level of the lamina cribrosa due to a high translaminar pressure difference.</abstract><cop>PHILADELPHIA</cop><pub>Journal of Neuro-Ophthalmology</pub><pmid>33105416</pmid><doi>10.1097/WNO.0000000000001095</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-7949-6832</orcidid></addata></record> |
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| subjects | Adult Clinical Neurology Eye Injuries - complications Eye Injuries - diagnosis Female Humans Intracranial Pressure - physiology Intraocular Pressure - physiology Life Sciences & Biomedicine Magnetic Resonance Imaging Neurosciences & Neurology Ocular Hypotension - complications Ocular Hypotension - diagnosis Ocular Hypotension - physiopathology Ophthalmology Papilledema - diagnosis Papilledema - etiology Science & Technology Wounds, Nonpenetrating - complications Wounds, Nonpenetrating - diagnosis |
| title | Optic Disc Edema and Posterior Globe Flattening Secondary to Ocular Hypotony: Case Report and Discussion Regarding Pathophysiology and Clinical Findings |
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