2012 Volume 26 Issue 1 Pages 47-54
Two treatments for traumatic optic neuropathy are conservative therapy, mainly with steroids, and optic canal decompression surgery. There has been a debate on which treatment is more effective in visual acuity convalescence. After examining ten traumatic optic neuropathy cases at our hospital, we came to the conclusion that in order to see improvement in visual acuity convalescence, the basal visual acuity at the time of admission should be good and treatment should be started as soon as possible. Therefore, if traumatic optic neuropathy is suspected based on the patient's clinical history, physical findings, and image views, we should confirm his or her pupil size and proceed with a speedy diagnosis.