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Related Experiment Videos

Indirect optic nerve trauma.

S Lessell1

  • 1Neuro-ophthalmology Unit, Massachusetts Eye and Ear Infirmary, Boston.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 1, 1989
PubMed
Summary
This summary is machine-generated.

Post-traumatic optic neuropathy is uncommon, often affecting young males due to bicycle injuries. Early management may improve vision, but treatment remains controversial.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Trauma Surgery

Background:

  • Posttraumatic optic neuropathy (TON) is an important but uncommon condition.
  • This study reviews 33 cases over an 11-year period.

Purpose of the Study:

  • To summarize the clinical features, injury sources, and outcomes of TON.
  • To evaluate the effectiveness of different management strategies.

Main Methods:

  • Retrospective case series analysis of 33 patients with TON.
  • Correlation of visual loss severity with clinical factors.
  • Comparison of outcomes based on treatment received (observation, corticosteroids, surgical decompression).

Main Results:

  • Young males were predominantly affected, with bicycles being the most common injury source.

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  • Visual loss severity poorly correlated with consciousness level or craniofacial fractures.
  • Vision improved in some untreated patients and those treated with corticosteroids or surgical decompression.
  • No vision loss occurred after initial examination; some blind eyes regained vision.

    • Conclusions:

    • Management of TON is controversial.
    • Establishing dedicated physician teams for treatment planning is recommended.
    • Early intervention may offer potential for visual recovery.