Risk Factors Analysis for the Outcome of Indirect Traumatic Optic Neuropathy With Steroid Pulse Therapy

Abstract

From this study, we might suggest to apply steroid pulse therapy on those patients without contraindication, with an incurring injury less than 24 hours previously. Factors such as sex, age, lateral force fracture pattern, and pure facial trauma revealed a better outcome for improvement of visual acuity. Orbital blowout fractures, initial free EOM, initial IOP greater than 25 mmHg, and higher triage grade suggested poor improvement of visual acuity.

Interventions for Indirect Traumatic Optic Neuropathy

“…Lai et al 8 (level III) used a similar corticosteroid protocol for 20 patients and monitored them for 6 months. All of the patients in this study showed no light perception vision before initiation of treatment.…”

Traumatic Optic Neuropathy

“…Furthermore, there might be other predisposing factors that could impact the effects of steroid treatment on indirect TON. Recently, Lai et al 15) investigated predisposing factors for the recovery of patients with indirect TON who were treated with steroid pulse therapy. The authors commented that factors such as female sex, the administration of steroid therapy within less than 24 hours of the injury, lateral force fracture, and pure facial trauma revealed a better outcome for the improvement of visual acuity.…”

“…Since Hippocrates first noted visual impairment after facial trauma, 11) numerous reports have described TON, focusing on its causes and methods of treatment. 1 7 14 15 16 24 25 26) In this article, I review the recent literature regarding TON and discuss how to manage indirect TON.…”

29 Traumatic Optic Neuropathy

“…Since Hippocrates first noted visual impairment after facial trauma, 11) numerous reports have described TON, focusing on its causes and methods of treatment. 1,7,[14][15][16][24][25][26] In this article, I review the recent literature regarding TON and discuss how to manage indirect TON.…”