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Review
. 2018 Oct;14(2):55-60.
doi: 10.13004/kjnt.2018.14.2.55. Epub 2018 Oct 31.

Surgical Treatment for Traumatic Optic Neuropathy

Hyuk-Jin Oh  1 , Dong-Gyu Yeo  2 , Sun-Chul Hwang  3
Affiliations
Review

Surgical Treatment for Traumatic Optic Neuropathy

Hyuk-Jin Oh et al. Korean J Neurotrauma. 2018 Oct.

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.

Keywords: Decompression, surgical; Optic nerve; Optic nerve injuries.

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Conflict of interest statement

The authors have no financial conflicts of interest.

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