RESUMO
Optic nerve head avulsion is a rare condition. It consists in a rupture of the nerve fibers at the level of the lamina cribrosa followed by a retraction of these fibers into the intact optic sheath. We report a case of optic nerve head avulsion following globe contusion. The association of a sudden forced globe rotation, a possible acute proptosis, and a sudden rise in intraocular pressure likely caused the avulsion. The presence of intraocular hemorrhages did not prevent examination of the optic nerve head region, which showed a crater. Initial visual acuity was no light perception. An orbit bone fracture was ruled out after CT examination. The patient was treated with general antibiotics and eyedrops (antibiotic/corticosteroid and atropine). No visual recovery was observed.
