Citation

Park JH, Jang JW, Kim SJ, Lee YJ. Korean J. Ophthalmol. 2010; 24(2): 134-138.

Affiliation

Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea.

Copyright

(Copyright © 2010, Korean Ophthalmological Society)

DOI

10.3341/kjo.2010.24.2.134

PMID

20379466

PMCID

PMC2851003

Abstract

We report a case of traumatic optic neuropathy accompanying a grease gun injury to the orbit. A 48-year-old man with a grease gun injury visited our clinic with decreased visual acuity, proptosis and limited extraocular movement (EOM). Orbital CT revealed a crescent mass of fat in the medial intraconal space. The grease was exuded from a lacerated conjunctival wound. The visual evoked potential (VEP) test demonstrated a decreased response in the left eye. Proptosis and EOM were improved after surgical removal of the grease. Systemic high-dose corticosteroid therapy was administered for suspected traumatic optic neuropathy, after which VEP nearly recovered, while visual acuity was slightly improved. A second surgery for traumatic cataract did not further improve visual acuity.

Language: en