Surgical treatment of progressive visual loss in traumatic optic neuropathy. Report of two cases

J. Guy, M. Sherwood, A. L. Day

Research output: Contribution to journalArticle

24 Scopus citations


In two patients with traumatic optic neuropathy progressive visual loss was reversed by surgical decompression of the optic nerve sheath. The first patient with hemorrhage beneath the optic nerve sheath had progressive loss of vision from counting fingers to no light perception within 24 hours after injury. Surgical evacuation of the hematoma improved visual acuity to 8/30. The second patient had progressive visual loss from 20/20 to 20/400 within the 1st week after injury. Drainage of an arachnoid cyst of the optic nerve sheath improved visual acuity to 20/25. Computerized axial tomography disclosed the hemorrhage in the first case and enlargement of the optic nerve sheath in the second. While the management of traumatic optic neuropathy is controversial, surgical intervention for an arachnoid cyst and hematoma involving the optic nerve is clearly beneficial.

Original languageEnglish (US)
Pages (from-to)799-801
Number of pages3
JournalJournal of neurosurgery
Issue number5
StatePublished - Jan 1 1989


ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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