The prevalence, profile and outcomes of traumatic optic nerve injury in the neurosurgical patients admitted to a tertiary care centre in south India in one year
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 3
Abstract
Objectives To find the prevalence of traumatic optic nerve injury in neurosurgical patients admitted to this rural tertiary care hospital and to assess the clinical profile and visual outcomes in these patientsMaterials and Methods This case series of the prevalence profile and outcomes of patients with Traumatic optic nerve injury TONI admitted to the neurosurgical department of this rural teaching hospital during the year 2014 received the approval of the Institutional Review Board and the Institutional Ethics Committee Data was accessed from the medical records of these patients for one yearResults Of the 3466 neurosurgical admissions 15 were found to have traumatic optic nerve injury making the prevalence of TONI in this institution 043 Of the 15 patients with TONI 14 93 were males and the mean age was 33 years and more than half were over the age of 30 years Road Traffic Accidents remained the main cause for TONI 93 Ten of these patients 667 presented with fracture skull or orbit and 5 333 had no fractures Most of the bony injuries were lateral orbital wall fractures accounting for 7 70 None of the patients had evidence of optic nerve compression Fourteen of the 15 patients with TONI 93 received intravenous and oral corticosteroids and one patient was treated conservatively Twelve patients showed improved visual acuity on discharge while three did not improveConclusion Traumatic optic nerve injury is a visionendangering condition which is a comorbidity of blunt head trauma Most of the patients with optic nerve injury presented with periorbital edema subconjunctival haemorrhage and orbital wall fracture lateral orbital wall fracture being the commonest Patients treated with intravenous corticosteroids followed by oral route of the same were found to have good visual outcomes There is a great need to develop clinical databases for better understanding of the natural history and management of this conditionKeywords Head injury Orbital fracture Road traffic accidents Traumatic optic nerve injury Visual acuity
Authors and Affiliations
Deepti R, Liji Menon M, Blessy Thankom Mathew, Thomas K Joy, Anna Mathew
Keywords
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- EP ID EP474275
- DOI 10.18231/2395-1451.2018.0091
- Views 83
- Downloads 0
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