Optic nerve decompression - role in preventing traumatic ischaemic optic neuropathy: case report

Manish Munjal, Japneet Kaur, Porshia Rishi, Nitika Tuli, Iti Bharadwaj, Shubham Munjal


Traumatic optic neuropathy is a complication that arises due to head injury, high velocity road traffic accidents causing maxillofacial trauma. Due to involvement of optic nerve which endangers vision, there is a race against to save the vision. Endoscopic optic nerve decompression is a useful procedure for optic nerve decompression. We report a case of ischaemic optic neuropathy following road traffic accident, who underwent endoscopic optic nerve decompression within 6 hours of injury.


Traumatic optic neuropathy, Optic nerve decompression, Endoscopic transnasal transsphenoid approach

Full Text:



Yu-Wai-Man P. Traumatic optic neuropathy-clinical features and management issues. Taiwan J Ophthalmol. 2015;5(1):3-8.

Wu N, Yin ZQ, Wang Y. Traumatic optic neuropathy therapy: an update of clinical and experimental studies. J Int Med Res. 2008;36(5):883-9.

Duke-Elder S, Wybar KC. System of ophthalmology, The anatomy of the visual system, vol. 2. London: Kimpton; 1961: 277.

BoĊĦtjan L, Ravnik J. Endoscopic Transnasal Optic Nerve Decompression. Open Access Atlas Of Otolaryngology, Head & Neck Operative Surgery. Available at: group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/ Endoscopic%20transnasal%20optic%20nerve%20decompression.pdf. Accessed on 3 February 2020.

Wasserberg J. The MRC CRASH trial - a large, simple randomised trial of steroids in head injury. Acta Neurochir Suppl. 2004;89:109-12.

Yu-Wai-Man P, Griffiths PG. Steroids for traumatic optic neuropathy. Cochrane Database Syst Rev. 2013;6:CD006032.

Cook MW, Levin LA, Joseph MP, Pinczower EF. Traumatic optic neuropathy. A meta-analysis. Arch Otolaryngol Head Neck Surg. 1996;122:389-92.

Hathiram BT, Khattar V. Traumatic optic neuropathy. Otorhinolaryngol Clin. 2011;3(3):188-96.