[The clinic treatment of traumatic optic neuropathy].

OBJECTIVE

To observe the visual outcome of traumatic optic neuropathy treated with optic canal decompression surgery and medication.

METHOD: 15 patients, suffering from traumatic optic neuropathy, had received medication and optic canal decompression surgery through the approach of ethmoid and sphenoid sinus. The vision acuity was divided into 5 grades: no light perception, light perception, finger movement, counting fingers, vision > or = 0.1, the vision acuity improvements reaching 2 grades or more were determined as effective. All patients were followed up for intervals of 1 month and 6 months.

RESULT: The total efficient rate is 57.4%, no intraoperative or postoperative complications were encountered. Being followed up 6 months, 2 cases, who underwent respectively the operation 8, 11 days after trauma, felt no light perception.

CONCLUSION

The approach through ethmoid and sphenoid sinus have the merits such as safety, less damage and larger operative field. Timely medication, megacorticosteroid therapy mainly, may play a good role in alleviating optic nerve edema and restoring its function. Comprehensive therapy may be an ideal treatment to traumatic optic neuropathy.