Skip to main content
Log in

Traumatic optic neuropathy — our experience

  • Invited Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

A great deal of controversy surrounds the physiology and management of traumatic optic neuropathy. Needless to say, it has formed the topic of much debate in the past, especially with regard to its surgical management. With the advances in sinus endoscopic procedures, and their extended applications to the orbit and optic nerve, endoscopic optic nerve decompression offers a very good chance for salvaging vision in patients with traumatic optic neuropathy. However, there is no definite protocol laid down in the world literature for this condition, owing partially to the fact that a majority of such cases are not amenable to surgery within the critical period, due to the coexisting morbidities of head injury. There is also much controversy regarding medical versus surgical management of traumatic optic neuropathy. We present here our experience with this condition, and outline the management protocol followed.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Chandwick J, Mann WN (1950) The Medical Works of Hippocrates. Oxford: England, Backwell

    Google Scholar 

  2. Kallela I, Hyrkas T, Paukku P, et al. (1994) Blindness after maxillofacial blunt trauma. J Oral Maxillofac Surg 22: 220–225

    CAS  Google Scholar 

  3. Kline LB, Morawetz RB, Swaid SN (1984) Indirect injury of the optic nerve. Neurosurgery 14:756–764

    Article  CAS  PubMed  Google Scholar 

  4. Hou LC, Murphy MA (2004) Traumatic optic neuropathy caused by a merchandise display hook. J Pediatr Ophthalmol Strabismus, 41:249–250

    PubMed  Google Scholar 

  5. Nishi T, Ueda T, et al. (2006) Traumatic optic neuropathy caused by blunt injury to the inferior orbital rim. J Neuroophthalmol, 26:44–46

    PubMed  Google Scholar 

  6. Walsh FB, Hoyt WF (1969) Clinical Neuroophthalmology. Baltimore: Williams and Wilkins pp. 2375

    Google Scholar 

  7. Steinsapir K, Goldberg R (1994) Traumatic optic neuropathy. Surg Ophthalmol 38:487–518

    Article  CAS  Google Scholar 

  8. Wormald PJ (2005) Endoscopic Optic Nerve Decompression in “Endoscopic Sinus Surgery: anatomy, three-dimensional reconstruction and surgical technique”. Thieme medical publishers Inc. New York

    Google Scholar 

  9. Sofferman B (1995) The recovery potential of the optic nerve. Laryngoscope 105:1–38

    CAS  PubMed  Google Scholar 

  10. Behbehani R (2007) Clinical approach to optic neuropathies. Clinical Ophthalmology 1(3) 233–246

    PubMed  Google Scholar 

  11. Carta A, Ferrigno L, Salvo M, Bianchi-Marzoli S, Boschi A, Carta F (2003) Visual prognosis after indirect traumatic optic neuropathy. J Neurol Neurosurg Psychiatry 74:246–248

    Article  CAS  PubMed  Google Scholar 

  12. Cook MW, Levin LA, Joseph MP, et al. (1996) Traumatic optic neuropathy: a meta-analysis. Arch Otolaryngol Head Neck Surg 122:389–392

    CAS  PubMed  Google Scholar 

  13. Steinsapir KD (2006) Treatment of traumatic optic neuropathy with highdose corticosteroid. J Neuroophthalmol 26:65–67

    PubMed  Google Scholar 

  14. Jiang RS, Hsu CY, et al. (2001) Endoscopic optic nerve decompression for the treatment of traumatic optic neuropathy. Rhinology 39:71–74

    CAS  PubMed  Google Scholar 

  15. Wohlrab TM, Maas S, et al. (2002) Surgical decompression in traumatic optic neuropathy. Acta Ophthalmol Scand, 80:287–293

    Article  PubMed  Google Scholar 

  16. Rajiniganth MG, Gupta AK, et al. (2003) Traumatic optic neuropathy: visual outcome following combined therapy protocol. Arch Otolaryngol Head Neck Surg 129: 1203–1206

    Article  CAS  PubMed  Google Scholar 

  17. Steinsapir K, Seiff S, Goldberg R (2002) Traumatic optic neuropathy: where do we stand? Ophthal Plast Reconstr Surg 18:232–234

    Article  PubMed  Google Scholar 

  18. Luxenberger W, Stammberger H, Jebeles J, Walch C (1998) Endoscopic optic nerve decompression: the Graz experience. Laryngoscope 108:873–882

    Article  CAS  PubMed  Google Scholar 

  19. Chow J, Stankiewicz J (1997) Powered instrumentation in orbital and optic nerve decompression. Otolaryngol Clin N Am 30:467–478

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bachi T. Hathiram.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hathiram, B.T., Khattar, V.S., Sonawane, H.P. et al. Traumatic optic neuropathy — our experience. Indian J Otolaryngol Head Neck Surg 62, 229–235 (2010). https://doi.org/10.1007/s12070-010-0072-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-010-0072-y

Keywords

Navigation