Clinical Evaluation and Treatment Outcome of Traumatic Optic Neuropathy in Nepal: A Retrospective Case Series

ABSTRACT

This study aims to report the clinical features and role of different treatment modalities in final visual outcome in traumatic optic neuropathy (TON). The authors retrospectively reviewed the records of patients with TON over 4 years. There were 37 patients of unilateral TON. Mean age was 28.70 ± 15.20 years (range: 8–90) and 89% (n = 33) were males. Road traffic accident was the common cause (43.2%), followed by fall injury (35.1%). There was improvement of visual acuity in 51.4% (n = 19) cases. Out of different treatment modalities, high-dose intravenous methylprednisolone (1 g/day) led to significant improvement in final visual acuity (p = 0.013). There was no significant improvement in final visual outcome in patients with poor initial visual acuity and those with intracranial injuries.

KEYWORDS:

• Intracranial injury
• methylprednisolone
• oral steroids
• traumatic optic neuropathy
• visual outcome

Acknowledgements

The authors thank the medical record unit of B. P. Koirala Lions Centre for Ophthalmic Studies for providing the records of patients with traumatic optic neuropathy.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.