Authors : Ravindra Kumar Chowdhury, Anuradha Pradhan, Jayashree Dora
DOI : 10.18231/2455-8478.2018.0006
Volume : 4
Issue : 1
Year : 0
Page No : 15-17
Aim: To study the clinical profile and outcome of traumatic optic neuropathy in a tertiary care eye center of India.
Materials and Methods: This prospective study was conducted in 24 eyes of 22 consecutive patients with traumatic optic neuropathy who attended the outpatient ophthalmology department of a tertiary health care center of India from January 2014 to December 2016. The patients were equally divided into 2 groups. Those patients treated with intravenous methylprednisolone with a dose of 1gm
for 3 days followed by oral prednisolone with a dose of 1 mg/kg body weight for 11 days were included in group A and those observed with placebo treatment only were included in group B.
Results: Twenty-one patients were males and only one patient was female. The most common age group was 21- 30 years with mean age of 29.29 years. The causes of traumatic optic neuropathy were found to be motor vehicle accident (68.18%) followed by blunt trauma (22.72%) and fall (9.09%). Most of the eyes had the vision of hand movement to no perception of light on presentation (54.16%). The common extraocular associations were the periorbital hematoma (91.66%) and lid laceration (83.33%). Most of the patients (86.36%) were associated with multiple fractures of the skull and orbital bone and 13.63% of patients were not associated with any fracture. Eight of eleven patients (72.72%) in group A had shown 1 line improvement of visual acuity following treatment whereas six of eleven patients (54.54%) of Group B had shown 1 line improvement.The follow-up period of each patient in our study was 6 months.
Conclusion: The common extraocular manifestations observed in our study were the periorbital hematoma, lid laceration, and bony fractures.Traumatic optic neuropathy in our study had a better visual outcome in steroid treatment group than those observed with placebo management.
Keywords: Traumatic optic neuropathy, Corticosteroid, Orbital fracture.