Surgical Treatment for Traumatic Optic Neuropathy.
10.13004/kjnt.2018.14.2.55
- Author:
Hyuk Jin OH
1
;
Dong Gyu YEO
;
Sun Chul HWANG
Author Information
1. Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
- Publication Type:Review
- Keywords:
Decompression, surgical;
Optic nerve;
Optic nerve injuries
- MeSH:
Decompression;
Decompression, Surgical;
Head;
Neurosurgeons;
Optic Nerve;
Optic Nerve Injuries*;
Steroids;
Visual Acuity
- From:Korean Journal of Neurotrauma
2018;14(2):55-60
- CountryRepublic of Korea
- Language:English
-
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.
