Traumatic optic neuropathy in pediatric population: Early intervention or delayed intervention?

Gupta, Ashok; Gupta, Anish; Gupta, Amod; Malhotra, Sheetal

doi:10.1016/j.ijporl.2006.11.018

Cited by 30 publications

(14 citation statements)

References 7 publications

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“…Imachi15 also reported 16 HRCT-undetected OCF cases out of 80 cases with TON, making missing rate 20%. Gupta et al 17 reported an even poor correlation between CT and operative findings, showing 7 OCF cases visible on CT and 13 OCF cases detected during surgery. Wohlrab et al 18 reported a high false-negative rate that only one OCF was detected by CT while eight were found intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome

et al. 2016

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“…Postsurgical improvements have been reported among many ocular injury patients, including those with no initial light perception and those operated upon several months after injury. [26–30] Spontaneous improvement without medical or surgical intervention has also been reported. [3132]…”

Section: Discussionmentioning

confidence: 99%

Role of the maxillofacial surgeon in the management of severe ocular injuries after maxillofacial fractures

Roccia

Boffano

Guglielmi³

et al. 2011

J Emerg Trauma Shock

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Aim:This study was designed to evaluate the incidence of severe ocular injuries associated to maxillofacial fractures and report their management in the Emergency Department.Patients and Methods:Among the 1779 patients admitted for maxillofacial fractures, those with partial or total loss of vision at the time of emergency consultation were included in the study. Data collected from the patients’ medical records included age, gender, mechanism of injury, location and type of facial fractures, type of ocular injuries and cause of blindness, methods of treatment, and days of hospitalization.Results:Forty patients (2.2%), 32 men and 8 women, ranging from 17 to 85 years of age, presented with severely reduced vision or blindness associated to fractures of the facial middle third with involvement of one or more orbital walls, mainly caused by motor vehicle and work accidents. In 18 patients, severe ocular injuries were determined by direct lesion of the globe, in 14 by direct or indirect traumatic optic neuropathy and in 8 by a retrobulbar hematoma. Direct lesion of the eyeball was treated by prompt repair or enucleation of the globe, though no or little recovery of vision was obtained. Ophthalmologic and/or maxillofacial treatment of the anterior compartment lesions of the eye allowed a partial or total recovery of the vision. A partial or total recovery of the vision was observed in almost all the patients with indirect traumatic optic neuropathy after administration of steroids according to NASCIS II protocol. Likewise, an evident improvement of the vision was obtained by immediate drainage of retrobulbar hematoma.Conclusions:Early diagnosis of the nature of the ophthalmic injury and treatment are important, and involvement of the ophthalmologist is mandatory.

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“…In our study, surgical intervention helped in the recovery of vision acuity in 85.7% of the children; this value is remarkably higher than the average effect (P < 0.01). The structure of the bony canal of children is smaller than that of adults because of which there is lesser area for the nerve to expand [16]. Thus, intervention should be performed as early as possible rather than waiting for spontaneous recovery.…”

Section: Pre-vep P100mentioning

confidence: 99%

Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy

He¹,

Li²,

Yuan³

et al. 2015

Clinical Neurology and Neurosurgery

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Traumatic optic neuropathy in pediatric population: Early intervention or delayed intervention?

Cited by 30 publications

References 7 publications

Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome

Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome

Role of the maxillofacial surgeon in the management of severe ocular injuries after maxillofacial fractures

Evaluation of transcranial surgical decompression of the optic canal as a treatment option for traumatic optic neuropathy

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