Summary
The problems of therapy are described by comparing a retrospective (17 cases) to a prospective (12 cases) study of cases of traumatic lesions of the optic nerve. Intensive cooperation between specialists and a quick diagnosis facilitate the decision regarding treatment and lead to better results.
Indication for surgical treatment — transcranial or transethmoidal approach — should be confined to posttraumatic deterioration of optic nerve function in combination with fractures of the optic canal, and to its deterioration in spite of proper conservative treatment — shock treatment and cortisone infusions-.
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Millesi, W., Hollmann, K. & Funder, J. Traumatic lesion of the optic nerve. Acta neurochir 93, 50–54 (1988). https://doi.org/10.1007/BF01409902
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DOI: https://doi.org/10.1007/BF01409902