2023 Volume 48 Issue 3 Pages 309-314
Traumatic optic neuropathy is produced by a traumatic external force to the lateral part of the eyebrow that fractures or distorts the optic nerve canal. In a car collision, a 10-year-old girl suffered a bruise on the left frontal head. Her left eye visual acuity was counting fingers at the time of her injury, but it quickly deteriorated rapidly to blindness. Computed tomography (CT) showed left optic canal fracture but the anterior skull base was displaced. Because of progressive vision degeneration, she had emergency optic canal decompression and craniofacial reduction. Visual acuity of her left eye improved to light perception from the 3rd day and reached (0.15) at 3 months after surgery. CT reconstruction images are very helpful in comprehending the pathogenesis of traumatic neuropathy. Furthermore, even if the preoperative visual acuity is less than light perception, surgical intervention should be explored in juvenile instances.
