Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Otolaryngology and Head and Neck Surgery, PGIMER, Chandigarh, India.
BMJ Case Rep. 2020 Dec 22;13(12):e238461. doi: 10.1136/bcr-2020-238461.
Traumatic optic neuropathy is sinister sequelae of craniofacial trauma leading to vision loss. The decision between early medical or surgical intervention is usually individualised. Visual evoked potentials may guide the treatment plan. We describe a young male presenting 5 days after a road traffic accident with no perception of light vision in the right eye. He was managed medically with high dose of intravenous steroids. At the 3-month follow-up, he reported a reversal of vision loss with return of visual acuity to 3/60, which improved to 6/36 at 5 months and remained stable at 8 months.
创伤性视神经病变是颅面外伤导致视力丧失的严重后遗症。早期采用药物治疗还是手术治疗，通常需要个体化决策。视觉诱发电位可能有助于制定治疗计划。我们描述了一名年轻男性，在道路交通事故后 5 天就诊，右眼无光感。他接受了大剂量静脉类固醇药物治疗。3 个月随访时，他报告说视力丧失有所逆转，视力恢复到 3/60，5 个月时提高到 6/36，8 个月时保持稳定。
