2-Roof of right orbit fracture extending to sphenoid sinus
3-Closed fracture of right d/e of radius
This is report provided by the hospital. This morning, we seek for 2 eyes specialist in different hospital. The doctors told us the same where the optic nerve may hv been dead or broken off. So the oculoplastic surgery as Doctor mentioned no longer useful if the nerve are dead ? How about if my family member willing to donate the eye ? Is that possible ?
Thanks for precious advices and comments.. so happy that doctor share so much .
Thanks you much again.
Hi Dr John
Here is more detail report.
CT Orbit
CI : c/o loss of vision. sustained R traumatic optic neuropathy with mydriasis and muscle entrapment limitation in up gaze.
Findings :
Comparison made with previous CT dated on 24.11.2010
Right periorbital hematoma is seen.
There is right roof of orbit fracture with extension to the right ethmoid and sphenoid sinuses.
Blood seen in the ethmoid and sphenois sinuses.
No orbital floor fracture.
No extraocular muscle entrapment seen.
Small pneumocranium seen in the right anterior cranial fossa.
Small right temporal subarachnoid bleed is still seen.
IMPRESSION :
Roof of right orbit fracture.
No extraocular muscle entrapment.
Diagnosis : 1- Small right temporal and left frontal subdural hematoma
Yes that is as I suspected, in the USA it's called a Medrol Dose-Pak and is a tapering does of steroids. I think getting a second opinion is important. The optic nerve cannot be replaced or regrown. It is not likely that leaving you country and going elsewhere would be helpful.
One thing very important protect the remaining good eye from injury and disease.
JCH MD
Hi doctor, Here is the name of drug he had for 12 doses pack "metholpred" is it similliar to this Methylprednisolone ?
Hi Doctor,
Thanks for comments , Oculoplastic surgeon can reconstruct the eye nerve ? My bro being discharged out from general hospital after 12 doses done without improvement 2 hours ago. My family will sent him to other private hospital in our country Malaysia tomorrow, However its abit concern that those private hospital do not accept my bro. If everything doesnt fine , oversea medication will be in plan, However doctor, Do you think there is chances of getting reconstruct the eye ? Yes it might be very hard to say as i doesnt hv detail summary or diagnosis of my bro problem, I just think, whether there is any solution of getting the eye nerve recover as the doctors here told us it is dead.
Thx so much Dr. JCH MD
Calvin
Likely the medications are a form of steroid and he must have some sort of optic nerve trauma or compression. It is a serious problem. Going to an oculoplastic surgeon at a larger hospital would be a good idea.
JCH MD