Optic nerve avulsion from a golfing injury

PURPOSE: To describe a patient with optic nerve avulsion after being struck in the eye with a golf club. METHODS: A 10-year-old male was hit in the left eye by a golf club, The pat ient underwent full ophthalmoscopic evaluation and neuroimaging. RESULTS: The patient had no light perception in the left eye when first see n. Avulsion of the optic nerve with vitreous hemorrhage was apparent on exa mination. Computed tomographic imaging of the brain and orbits revealed no abnormalities. CONCLUSIONS: Optic nerve avulsion from golf-related injury is more likely t o occur when the impact site is between the globe and the orbital rim. Rupt ure of the globe is more likely to occur with direct impact to it. (C) 1999 by Elsevier Science Inc. All rights reserved.