Controversies in neuro-ophthalmology: Steroid therapy for traumatic optic neuropathy

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Controversies in neuro-ophthalmology: Steroid therapy for traumatic optic neuropathy

BACKGROUND There is an increase in the incidence of traumatic optic neuropathy (TON) due to increasing urbanization and rapid spurt in the number of motor vehicles on the road. Despite early presentation and ease of diagnosis the visual outcomes in TON are still limited. There is also significant confusion about the timing, dose and efficacy of steroid treatment in its management. PURPOSE To ...

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Traumatic ischaemic optic neuropathy.

Persistent profound visual loss following contusion of the globe or ocular adnexae has been well documented, the visual loss being attributed to haemorrhage into, or contusion of, the optic nerve, or to interference with the blood supply of the eye. The patient described below presented after a contusion of the eye and orbit, with the clinical picture of ischaemic optic neuropathy presumably re...

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Indirect traumatic optic neuropathy

Indirect traumatic optic neuropathy (ITON) refers to optic nerve injury resulting from impact remote to the optic nerve. The mechanism of injury is not understood, and there are no confirmed protocols for prevention, mitigation or treatment. Most data concerning this condition comes from case series of civilian patients suffering blunt injury, such as from sports- or motor vehicle-related concu...

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Traumatic optic neuropathy.

Introduction: Traumatic optic nerve damage after craniofacial injury was first described by Hippocrates.1 Although the natural history of traumatic optic neuropathy is unknown, recent studies suggest that high dose steroids and, even surgical decompression of the optic canal or the nerve sheath (in cases of nerve sheath hematoma) may restore vision in selected patients.2-8 The commonest cause o...

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Endoscopic decompression of the optic canal for traumatic optic neuropathy

PURPOSE Traumatic optic neuropathy (TON) is a serious complication of head trauma with the incidence rate of 0.5%-5%. The aim of this study was to investigate the therapeutic efficacy of endoscopic decompression of the optic canal for optic nerve injuries. METHODS In this study, 11 patients treated in our hospital from January 2009 to January 2015 with the visual loss resulting from TON were ...

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ژورنال

عنوان ژورنال: Indian Journal of Ophthalmology

سال: 2014

ISSN: 0301-4738

DOI: 10.4103/0301-4738.146021