Traumatic optic neuropathy in a tertiary eye care hospital of India
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2018, Vol 4, Issue 1
Abstract
Aim To study the clinical profile and outcome of traumatic optic neuropathy in a tertiary care eye center of IndiaMaterials 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 1gmfor 3 days followed by oral prednisolone with a dose of 1 mgkg body weight for 11 days were included in group A and those observed with placebo treatment only were included in group BResults Twentyone patients were males and only one patient was female The most common age group was 21 30 years with mean age of 2929 years The causes of traumatic optic neuropathy were found to be motor vehicle accident 6818 followed by blunt trauma 2272 and fall 909 Most of the eyes had the vision of hand movement to no perception of light on presentation 5416 The common extraocular associations were the periorbital hematoma 9166 and lid laceration 8333 Most of the patients 8636 were associated with multiple fractures of the skull and orbital bone and 1363 of patients were not associated with any fracture Eight of eleven patients 7272 in group A had shown 1 line improvement of visual acuity following treatment whereas six of eleven patients 5454 of Group B had shown 1 line improvementThe followup period of each patient in our study was 6 monthsConclusion The common extraocular manifestations observed in our study were the periorbital hematoma lid laceration and bony fracturesTraumatic optic neuropathy in our study had a better visual outcome in steroid treatment group than those observed with placebo managementKeywords Traumatic optic neuropathy Corticosteroid Orbital fracture
Authors and Affiliations
Ravindra Kumar Chowdhury, Anuradha Pradhan, Jayashree Dora
Keywords
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- EP ID EP513388
- DOI 10.18231/2455-8478.2018.0006
- Views 76
- Downloads 0
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