Abstract

Purpose: Management of Traumatic Optic Neuropathy in various scenarios.
Methods: A case series
Results:
Case 1- A 24 year old healthy male with alleged h/o RTA sustained a laceration above the right eyebrow. His vision in right eye – 6/24 and left eye- 6/6. RAPD is present in the right eye. He was advised IVMP followed by oral steroids. Vision improved RE- 6/12
Case 2- A thin, elderly patient with head injury after alleged h/o RTA was evaluated. He had been on ventilator and diagnosed with traumatic brain injury. Right eye showed anisocoria and RAPD. Systemic steroids was not administered. On follow-up, RE- vision- PL+ and left eye- 6/9.
Case 3- A 27 year old gentleman was brought 11 days after a RTA. RE- vision PL+, LE- 6/6. He had sustained fracture of right orbital wall. RAPD in the right eye. He was administerd IVMP and oral steroids
Conclusion: There is no consensus on definitive management and treatment has to be individualised.