ISSN:
0942-0940
Keywords:
Keywords: Traumatic optic neuropathy; visual improvement; surgical treatment; nonsurgical treatment.
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary 34 patients with indirect traumatic optic neuropathy were studied to identify factors affecting outcome and surgical indications. 12 cases (13 eyes = group A) underwent surgery and 24 patients (24 eyes = group B) were managed without surgery. Age, optic canal fracture, visual acuity before treatment (initial visual acuity) and days until surgery (only group A) were employed as variables. Visual acuity improved significantly more in patients with initial visual acuity, hand movement (HM) or better than in those with initial visual acuity for light perception (LP) only or worse. When initial visual acuity was HM or better, vision improved significantly more in patients with surgery than in those without surgery (p=0.0003) by Mann-Whitney U test). Days until surgery were correlated with visual improvement in patients with visual acuity HM or better. Age and optic canal fracture did not affect visual improvement or influence the decision for or against surgery.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s007010050262
