Skip to main content

Surgical Treatment for Traumatic Optic Neuropathy

  • Chapter
  • First Online:
Orbital Apex and Periorbital Skull Base Diseases

Abstract

Traumatic optic neuropathy (TON) is a severe and potentially blinding condition. Even though the role of surgical decompression is still debatable, many surgeons think that surgical decompression will be beneficial to selected cases. In this chapter, we will discuss how to perform endoscopic trans-ethmoid optic canal decompression (ETOCD) in TON.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Guy WM, et al. Traumatic optic neuropathy and second optic nerve injuries. JAMA Ophthalmol. 2014;132:567–71.

    Article  PubMed  Google Scholar 

  2. Pirouzmand F. Epidemiological trends of traumatic optic nerve injuries in the largest Canadian adult trauma center. J Craniofac Surg. 2012;23:516–20.

    Article  PubMed  Google Scholar 

  3. al-Qurainy IA, Stassen LF, Dutton GN, Moos KF, el-Attar A. The characteristics of midfacial fractures and the association with ocular injury: a prospective study. Br J Oral Maxillofac Surg. 1991;29:291–301.

    Article  CAS  PubMed  Google Scholar 

  4. Thale A, Jungmann K, Paulsen F. Morphological studies of the optic canal. Orbit. 2002;21:131–7.

    Article  PubMed  Google Scholar 

  5. Lee KF, Muhd Nor NI, Yaakub A, Wan Hitam WH. Traumatic optic neuropathy: a review of 24 patients. Int J Ophthalmol. 2010;3:175–8.

    PubMed  PubMed Central  Google Scholar 

  6. Levin LA, Beck RW, Joseph MP, Seiff S, Kraker R. The treatment of traumatic optic neuropathy: the international optic nerve trauma study. Ophthalmology. 1999;106:1268–77.

    Article  CAS  PubMed  Google Scholar 

  7. Yu-Wai-Man P, Griffiths PG. Steroids for traumatic optic neuropathy. Cochrane Database Syst Rev. 2013;2013(6):CD006032.

    PubMed  PubMed Central  Google Scholar 

  8. Yan W, et al. Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome. Br J Ophthalmol. 2017;101:261–7.

    PubMed  Google Scholar 

  9. Gross CE, DeKock JR, Panje WR, Hershkowitz N, Newman J. Evidence for orbital deformation that may contribute to monocular blindness following minor frontal head trauma. J Neurosurg. 1981;55:963–6.

    Article  CAS  PubMed  Google Scholar 

  10. Anderson RL, Panje WR, Gross CE. Optic nerve blindness following blunt forehead trauma. Ophthalmology. 1982;89:445–55.

    Article  CAS  PubMed  Google Scholar 

  11. Nagasao T, et al. Biomechanical analysis of likelihood of optic canal damage in peri-orbital fracture. Comput Assist Surg (Abingdon). 2018;23:1–7.

    Article  PubMed  Google Scholar 

  12. Huempfner-Hierl H, Bohne A, Wollny G, Sterker I, Hierl T. Blunt forehead trauma and optic canal involvement: finite element analysis of anterior skull base and orbit on causes of vision impairment. Br J Ophthalmol. 2015;99:1430–4.

    Article  PubMed  Google Scholar 

  13. Liugan M, Xu Z, Zhang M. Reduced free communication of the subarachnoid space within the optic canal in the human. Am J Ophthalmol. 2017;179:25–31.

    Article  PubMed  Google Scholar 

  14. Yu-Wai-Man P. Traumatic optic neuropathy-clinical features and management issues. Taiwan J Ophthalmol. 2015;5:3–8.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Oh H-J, Yeo D-G, Hwang S-C. Surgical treatment for traumatic optic neuropathy. Korean J Neurotrauma. 2018;14:55–60.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Maas AIR, Peul W, Thomé C. Surgical decompression in acute spinal cord injury: earlier is better. Lancet Neurol. 2021;20:84–6.

    Article  PubMed  Google Scholar 

  17. Singman EL, et al. Indirect traumatic optic neuropathy. Mil Med Res. 2016;3:2–2.

    PubMed  PubMed Central  Google Scholar 

  18. Singh A, Tetreault L, Kalsi-Ryan S, Nouri A, Fehlings MG. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014;6:309–31.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hunter Kwok Lai YUEN .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zhang, Y.K., YUEN, H.K.L., Wu, W. (2023). Surgical Treatment for Traumatic Optic Neuropathy. In: POON, T.L., MAK, C., YUEN, H.K.L. (eds) Orbital Apex and Periorbital Skull Base Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-2989-4_26

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-2989-4_26

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-2988-7

  • Online ISBN: 978-981-99-2989-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics