NR 4-6/2005

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Pourazowa utrata widzenia jednego oka spowodowana przetoką tętniczo-jamistą

Post-traumatic unilateral vision loss caused by carotid-cavernous fistula

Lidia Puchalska-Niedbał1, Dariusz Jeżewski2

1Z Katedry i Kliniki Okulistyki Pomorskiej Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz
2Z Kliniki Neurochirurgii i Neurochirurgii Dziecięcej Pomorskiej Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Ireneusz Kojder

Summary: Purpose: We show the subject with unilateral vision loss after head trauma. The carotid-cavernous fistula was
a cause of one eye blindness recognized after 2 months.
Material and methods: 21 years old student with hard trauma of the head and brain after traffic accident. He had skull bones without optic canals bones broke. After 2 months he came to the Ophthalmology Clinic with no light perception, proptosis and swelling of conjunctiva and disturbances of motility of the left eye. We suspected a carotid-cavernous fistula as a cause of loss of light perception in this eye. The patient was sent to Neurosurgery Clinic where he had left carotid artery in the brain closed.
Results: After 8 days from the surgery he was in good physical condition but we didn`t save the vision of the left eye.
Słowa kluczowe:  uraz głowy, zanik nerwu II, przetoka tętniczo-jamista.
Key words: head trauma, atrophy of n. II, carotid-cavernous fistula.



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