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OCULAR TRAUMA - Michigan Optometric Association

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Neuro-ophthalmologic Traum<br />

• Note<br />

– It has been shown that multiple cranial<br />

neuropathies were associated with less severe<br />

head injury and more significant extremity injury.<br />

» Dhaliwal et al.<br />

Traumatic Optic Neuropathy<br />

• Visual outcome is poor<br />

– Regardless of treatment (high dose<br />

corticosteroids, optic nerve sheath fenestration,<br />

or optic canal decompression), outcome is poor<br />

• RAPD presence is the most useful diagnostic<br />

test<br />

Thank you<br />

derek.n.cunningham@gmail.com<br />

Traumatic Optic Neuropathy<br />

• Can often be the only ophthalmic injury after<br />

significant head trauma<br />

• Believed to happen in the canalicular portion<br />

of the nerve<br />

The Ridiculous<br />

12

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