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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2024, Vol. 10 ›› Issue (01): 1-5. doi: 10.3877/cma.j.issn.2095-9141.2024.01.001

• Editorial •    

Progress in diagnosis and treatment of traumatic optic nerve injury

Wei Yan1, Jianmin Zhang1,()   

  1. 1. Department of Neurosurgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, China
  • Received:2024-01-05 Online:2024-02-15 Published:2024-04-15
  • Contact: Jianmin Zhang

Abstract:

Traumatic optic nerve injury, also known as traumatic optic neuropathy (TON), is a serious complication of craniofacial trauma that directly or indirectly damages the optic nerve and leads to severe visual loss. TON is an emergency situation, early identification and timely and effective treatment are crucial for the recovery of vision. The treatment options for TON include corticosteroid therapy, optic nerve decompression surgery, and a combination of corticosteroid therapy and optic nerve decompression surgery. However, there are significant differences in the therapeutic effect reported in the literature, and the choice of treatment is still controversial. The research on optic nerve protection and regeneration after the onset of TON is still in the laboratory stage. This article mainly reviews the progress in the diagnosis and treatment of TON, in order to provide reference for exploring more effective and reasonable diagnosis and treatment methods in the future.

Key words: Traumatic optic neuropathy, Corticosteroid therapy, Optic nerve decompression, Endoscope

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