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Case report
Reversal of vision loss after traumatic optic neuropathy
  1. Aditi Mehta1,
  2. Ramya Rathod2,
  3. Ramandeep S Virk2 and
  4. Byanjana Bashyal1
  1. 1Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Department of Otolaryngology and Head and Neck Surgery, PGIMER, Chandigarh, India
  1. Correspondence to Dr Ramandeep S Virk; virkdoc{at}hotmail.com

Abstract

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.

  • trauma
  • neuroopthalmology
  • visual pathway
  • radiology
  • otolaryngology / ENT

https://doi.org/10.1136/bcr-2020-238461

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    Footnotes

    • Contributors AM was involved in concept, patient managemen and manuscript preparation. RR was involved in patient management, manuscript editing and review of literature. RSV was involved in concept, design, supervision, manuscript editing. BB was involved in patient management and manuscript preparation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.