Dr. THARINI SENTHAMIZH

Dr. K. SUBASHINI, Dr.Ramesh Babu K

Abstract

Purpose

To study the demographic profile and factors associated with visual outcome in patients with indirect traumatic optic neuropathy.

Methods

A retrospective non-randomized study of 21 patients who presented with indirect TON from February 2017-2018 was conducted. Those with bony impingement on the optic nerve were treated with endoscopic surgical decompression and the rest were treated with low dose steroids. Visual acuity was assessed at presentation, 2 weeks and 1 month.

Results

The mean age was 31.6 years (13-75 years), 19(90.4%) of them were male and the most common etiology was road traffic accident (95.23%) . Mean time of presentation was 3.6 hours (1-7 hours). Vision at presentation was PL + and above in 8(3.1%) and No PL in 13(61.9%) patients and it was significantly associated with final visual outcome (P=0.047).

Conclusion

Initial vision at presentation determined the final vision in our study irrespective of associated injuries and treatment modalities.