loading page

Endoscopic optic nerve decompression for direct traumatic optic neuropathy: our 10 years experience
  • Vivek Sasindran,
  • Mithra John
Vivek Sasindran
Pushpagiri Medical College Hospital
Author Profile
Mithra John
Pushpagiri Medical College Hospital
Author Profile

Abstract

Background: Traumatic optic neuropathy (TON) can be caused by direct or indirect injury. Direct optic injury usually results from optic nerve avulsion or laceration, or from direct fracture of the optic canal. Indirect optic injury is caused by increased intracanalicular pressure after an injury. The prognosis of direct optic injury is usually quite poor. To date, no standardized treatment protocol has been developed for TON. In this study we are assessing the visual improvement in patients with direct TON who underwent endoscopic optic nerve decompression in the last 10 years. Methods: 32 cases of optic nerve decompression for direct TON were done in the last 10 years. Preoperative and post operative visual assessment were done and followed up for 3 months, Results: There was complete improvement in vision in 59% of patients when optic nerve decompression was done within 72 hours of trauma; whereas 31% cases had partial improvement when done between 3 and 7 days. And there was 0% improvement when done after 7 days. Conclusion: Endoscopic optic nerve decompression is a minimally invasive effective method in direct traumatic optic neuropathy with minimal or no complications when done by well experienced ENT surgeon with ample knowledge of anatomy and anatomical variations. Other important prognostic factors include timing of surgery, extend of trauma and preoperative visual status Key words: Endoscopic optic nerve decompression (EOND), Nerve sheah incision/ fenestration, Traumatic optic neuropathy (TON), Visual assessment( VA), Visual improvement scale (VIS)

Peer review status:UNDER REVIEW

12 Jun 2020Submitted to Clinical Otolaryngology
16 Jun 2020Assigned to Editor
16 Jun 2020Submission Checks Completed
22 Jun 2020Editorial Decision: Revise Minor
20 Jul 20201st Revision Received
24 Jul 2020Submission Checks Completed
24 Jul 2020Assigned to Editor
20 Sep 2020Reviewer(s) Assigned