Surgical Treatment for Traumatic Optic Neuropathy
Autor: | Sun-Chul Hwang, Hyuk-Jin Oh, Dong-Gyu Yeo |
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Rok vydání: | 2018 |
Předmět: |
Facial trauma
musculoskeletal diseases medicine.medical_specialty Visual acuity genetic structures Decompression Optic nerve Review Article 03 medical and health sciences 0302 clinical medicine Blunt Optic nerve injuries medicine Optic canal business.industry Progressive visual loss Decompression surgical medicine.disease eye diseases Surgery medicine.anatomical_structure 030221 ophthalmology & optometry Neurosurgery medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Korean Journal of Neurotrauma |
ISSN: | 2234-8999 |
Popis: | 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. |
Databáze: | OpenAIRE |
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