Report of a rare case of complete traumatic avulsion of the eyeball with optic nerve at the level chiasm. Case report retrospectively describes the annual monitoring of a young woman who was injured in the fire-fighter races.
Avulsion of the globe and optic nerve combined with injuries chiasm resulted in contralateral hemianopic visual field defect. During the observation period the descending atrophy of the corresponding axons and retinal ganglion cells developed.
There is currently no effective therapy of an injury in chiasm.