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Related Experiment Videos

Optic nerve trauma

M W Dul1

  • 1Optometry Service, Franklin D. Roosevelt Veterans Administration Medical Center, Montrose, New York.

Optometry Clinics : the Official Publication of the Prentice Society
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Optic nerve trauma, direct or indirect, can lead to optic atrophy. Management strategies for optic nerve damage remain controversial, with no definitive treatment for avulsion injuries.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Trauma Surgery

Background:

  • Optic nerve trauma can be direct (penetrating injury) or indirect (without direct contact).
  • Indirect optic nerve injuries may not show immediate changes but lead to optic atrophy within weeks.
  • The underlying pathophysiology of optic nerve damage is not fully understood.

Purpose of the Study:

  • To review the mechanisms, pathophysiology, and management of optic nerve trauma.
  • To discuss controversial treatment options including steroids and surgical decompression.
  • To highlight specific indirect injury types like globe avulsion and Terson's syndrome.

Main Methods:

  • Literature review of optic nerve trauma.
  • Discussion of diagnostic approaches including computed tomography.

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  • Analysis of management strategies and treatment outcomes.

    • Main Results:

    • Optic atrophy is a key consequence of indirect optic nerve injury.
    • Management options like steroid therapy and surgical decompression are debated.
    • Optic nerve avulsion has no current treatment; Terson's syndrome requires monitoring for complications.

    Conclusions:

    • Optic nerve trauma encompasses diverse injury types with varied presentations and prognoses.
    • Further research is needed to elucidate pathophysiology and establish optimal management protocols.
    • Protective measures and vigilant monitoring are crucial for specific optic nerve injuries.