Paramasivan Gaurav, Bhaskaran Gnanapoonkodi, Gopalakrishnan Sarika, Santhakumar Durga Priyadarshini, Raman Rajiv
Optometry, Sankara Nethralaya, Chennai, IND.
Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, IND.
Cureus. 2024 Sep 30;16(9):e70572. doi: 10.7759/cureus.70572. eCollection 2024 Sep.
Traumatic optic neuropathy (TON) refers to optic nerve damage resulting from trauma to the eye or head. Loss of visual functions is the hallmark of all optic neuropathies. Due to the sudden loss of vision, even after treatment, patients feel physically and psychologically disturbed. Hence, they are referred to low vision care practitioners for appropriate care and counselling services. The patient undergoes a series of examinations to assess their current condition and specific needs. Based on the findings, the patient was advised on low vision devices (LVDs) and rehabilitation services to help them utilize their residual vision. A 35-year-old man diagnosed with TON reported to a low vision clinic with visual acuity of no perception of light in the right eye and 6/60p, N12 @ 20cm in the left eye for assistive devices and further rehabilitation. A near vision trail was given with +10.00D half-eye spectacles, a 7x illuminated stand magnifier, and Niki closed-circuit television (CCTV). There was an improvement in N6 vision for near with Niki CCTV. Following this, the patient was referred to the rehabilitation training center, where he received counselling and tailored training based on his needs, including orientation and mobility, mobile and assistive technology usage, independent living skills, and job rehabilitation. These methods enhance the patient's ability to navigate daily life more independently, helping him regain confidence and functionality. With proper rehabilitation and LVDs, TON patients can lead an independent and confident life.
创伤性视神经病变(TON)是指因眼部或头部外伤导致的视神经损伤。视觉功能丧失是所有视神经病变的标志。由于视力突然丧失,即使经过治疗,患者在身体和心理上仍会感到困扰。因此,他们会被转介给低视力护理从业者,以获得适当的护理和咨询服务。患者会接受一系列检查,以评估其当前状况和特定需求。根据检查结果,会为患者提供低视力辅助装置(LVD)和康复服务的建议,以帮助他们利用残余视力。一名35岁被诊断为TON的男性前往一家低视力诊所,右眼视力无光感,左眼视力为6/60p,在20厘米处N12,寻求辅助装置和进一步康复治疗。为其提供了一次近视力试用,使用+10.00D半眼镜片、一个7倍带照明的台式放大镜和一台尼基闭路电视(CCTV)。使用尼基闭路电视后,近视力提高到了N6。此后,该患者被转介到康复训练中心,在那里他接受了根据其需求提供的咨询和量身定制的训练,包括定向与移动、移动和辅助技术使用、独立生活技能以及职业康复。这些方法提高了患者更独立应对日常生活的能力,帮助他重新获得信心和功能。通过适当的康复治疗和LVD,TON患者能够过上独立且自信的生活。