Neuro-ophthalmic Analyses of Head Trauma Patients.

Kim, Hun Min; Kim, Dae Hyun

doi:2019.60.11.1105

J Korean Ophthalmol Soc > Volume 60(11); 2019 > Article

Original Article

Journal of the Korean Ophthalmological Society 2019;60(11):1105-1111.
DOI: https://doi.org/10.3341/jkos.2019.60.11.1105 Published online November 15, 2019.

Neuro-ophthalmic Analyses of Head Trauma Patients.

Hun Min Kim, Dae Hyun Kim

Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea. eyelovehyun@hanmail.net

두부외상환자의 신경안과적 분석

김훈민 · 김대현

조선대학교 의과대학 안과학교실

Correspondence: Dae Hyun Kim,
Email: eyelovehyun@hanmail.net

Received: 16 May 2019 • Revised: 22 May 2019 • Accepted: 23 October 2019

Abstract

PURPOSE
To investigate the types and clinical features of neurological diseases after head trauma. METHODS: From March 2010 to December 2018, a total of 177 patients were enrolled in this study. We retrospectively reviewed the clinical features of neurological ophthalmic diagnoses and frequencies, the types of head injuries, and the prognoses. RESULTS: Cranial nerve palsy was the most common (n = 63, 35.6%), followed by traumatic optic neuropathy (n = 45, 25.4%), followed by optic disc deficiency, ipsilateral visual field defect, Nystagmus, skewing, ocular muscle paralysis between nuclei, and Terson syndrome. Neuro-ophthalmic deficits occurred in relatively strong traumas accompanied by intracranial hemorrhage or skull fracture. However, convergence insufficiency and decompensated phoria occurred in relatively weak trauma such as concussion. The prognoses of the diseases were poor (p < 0.05) for traumatic optic neuropathies and visual field defects. The prognoses of neurological diseases were poor if accompanied by intracranial hemorrhages or skull fractures (p < 0.05). CONCLUSIONS: After head trauma, various neuro-ophthalmic diseases can occur. The prognosis may differ depending on the type of the disease, and the strength of the trauma may affect the prognosis.

Key Words: Cranial nerve paralysis;Head trauma;Neuro-ophthalmic diseases