Traumatic optic neuropathy - our experience

A great deal of controversy surrounds the physiology and management of traumatic optic neuropathy. Needless to say, it has formed the topic of much debate in the past, especially with regard to its surgical management. With the advances in sinus endoscopic procedures, and their extended applications to the orbit and optic nerve, endoscopic optic nerve decompression offers a very good chance for salvaging vision in patients with traumatic optic neuropathy. However, there is no definite protocol laid down in the world literature for this condition, owing partially to the fact that a majority of such cases are not amenable to surgery within the critical period, due to the coexisting morbidities of head injury. There is also much controversy regarding medical versus surgical management of traumatic optic neuropathy. We present here our experience with this condition, and outline the management protocol followed.