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Optic Nerve Transection: A Model of Adult Neuron Apoptosis in the Central Nervous System

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Published on: May 12, 2011

Traumatic optic neuropathy - our experience.

Bachi T Hathiram¹, Vicky S Khattar, Harshal P Sonawane

¹Department of ENT and Head and Neck Surgery, T. N. Medical College and B. Y. L. Nair Charitable Hospital, Mumbai Central, Mumbai, 400 008 Maharashtra India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 3, 2012

Summary

Traumatic optic neuropathy management remains controversial. Endoscopic optic nerve decompression shows promise for vision salvage, though a definitive protocol is lacking due to patient comorbidities and timing challenges.

Keywords:

Optic nerve decompression Traumatic optic neuropathy

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Area of Science:

Ophthalmology
Neurosurgery
Trauma Surgery

Background:

Traumatic optic neuropathy (TON) presents significant challenges in its physiological understanding and clinical management.
Surgical intervention, particularly optic nerve decompression, is a debated topic in the context of TON.

Purpose of the Study:

To review the current controversies surrounding TON management.
To present institutional experience and outline a management protocol for TON.
To evaluate the role of endoscopic optic nerve decompression in vision salvage.

Main Methods:

Review of existing literature on TON physiology and management strategies.
Analysis of patient cases managed at the institution.
Description of the adopted management protocol, including surgical and medical approaches.

Main Results:

Endoscopic optic nerve decompression offers potential for vision recovery in TON patients.
Lack of a standardized treatment protocol is evident in global literature.
Challenges in timely surgical intervention due to head injury comorbidities are frequently encountered.

Conclusions:

Endoscopic optic nerve decompression is a viable option for vision salvage in traumatic optic neuropathy.
Further research and standardized protocols are needed for optimal TON management.
A multidisciplinary approach is crucial for managing patients with TON and associated head injuries.