J Korean Ophthalmol Soc.  2001 Sep;42(9):1309-1314.

Effect of High dose Corticosteroid and Optic Canal Decompression on Traumatic Optic Nerve Injury

• Park KS
• Lee SN
• Rha KS

Abstract

PURPOSE: To evaluate the effect of high dose corticosteroid and optic canal decompression on the traumatic optic nerve injury.
METHODS
Twenty six patients who were diagnosed to have traumatic optic nerve injury, were divided into two groups in which one group received corticosteroid therapy while the other group underwent optic canal decompression combined with corticosteroid therapy.
RESULTS
Visual acuity increased by > OR =3 lines of LogMAR scale in 47% of the corticosteroid group, in 28% of operation and steroid group, and in 42% of overall cases. But the degree of visual acuity improvement had no difference between two groups(p=0.72). As the patients were divided into two groups based on initial visual acuity such as no light perception and light perception or better, the initial visual acuity did not have influence on the final visual outcome in both corticosteroid group and operation and steroid group(p=0.78, p=0.33).
CONCLUSIONS
This result suggest that effect of high dose corticosteroid and optic canal decompression on traumatic optic nerve injury is not different.

Keyword

Corticosteroid; Optic canal decompression; Traumatic optic nerve injury

MeSH Terms

Decompression*
Humans
Optic Nerve Injuries*
Optic Nerve*
Visual Acuity