Mechanisms and management of vision loss following orbital and facial trauma

Abstract

Conservative management is the first line treatment for TON. The evidence strongly supports lateral canthotomy and inferior cantholysis as best treatment for RBH. There is no consensus as to whether enucleation or evisceration is the best treatment for irretrievable devastating globe injury. The choice of management is currently determined by surgeon preference.

Predictive factors and outcomes for posterior segment intraocular foreign bodies

“…Although the current trend leans toward evisceration because of the rarity of sympathetic ophthalmia and better cosmetic outcome compared with enucleation, the preference of these procedures is still controversial. 3,4 Savar et al 5 reported 51 and 5 enucleation and evisceration cases among 660 traumatized eyes, respectively. In contrast, Toit et al 6 reported primary enucleation in 3 eyes and evisceration in 491 eyes, respectively.…”

Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy

“…Traumatic optic neuropathy can be primary or secondary [8]. The primary TON occurs in overtraction, rupture, contusion, and distortion of the optic nerve.…”

A case of multipl cranial nerve involvement caused by skull base and orbital wall fractures

“…TON tedavisinde yüksek doz steroid, orbita dekompresyonu ya da konservatif tedavinin birbirine üstünlüğü açısından görüş birliği yoktur. [12] The International Optic Nerve Trauma Study çalışmasında yüksek doz steroid tedavisi ile orbita dekompresyon cerrahisi arasında ve bir başka çalışmada yüksek doz steroid tedavisi ve plasebo arasında görsel sonuç açısından istatistiksel olarak fark saptanmamıştır. [13,14] Olgunun travmadan bir ay sonra başvurması ve total görme kaybı olması nedeniyle TON açısından konservatif tedavi yoluna gidildi.…”