Korean J Neurotrauma.  2018 Oct;14(2):55-60. 10.13004/kjnt.2018.14.2.55.

Surgical Treatment for Traumatic Optic Neuropathy

• Oh HJ
• Yeo DG
• Hwang SC

• KMID: 2424313
• DOI: http://doi.org/10.13004/kjnt.2018.14.2.55

Abstract

Traumatic optic neuropathy (TON) is an important cause of severe visual loss after blunt or penetrating head and facial trauma. High-dose steroids and surgical interventions have been applied in the indirect TON. However, there is no convincing evidence that results of the treatment have any strong benefits in terms of improvement of visual acuity. Nevertheless, surgical decompression should be considered in the case of a direct bony compression to the optic nerve and a progressive visual loss in indirect TON. Neurosurgeon should be aware the surgical indication, optimal timing and relevant technique for the optic canal (OC) decompression. In this review article, we will focus on the surgical approaches to the OC and how to decompress it.

Keyword

Decompression, surgical; Optic nerve; Optic nerve injuries

MeSH Terms

Decompression
Decompression, Surgical
Head
Neurosurgeons
Optic Nerve
Optic Nerve Injuries*
Steroids
Visual Acuity
Steroids