TRAUMATIC OPTIC NEUROPATHY IN THE DIVISION OF NEURO-OPHTHALMOLOGY, DEPARTMENT OF OPHTHALMOLOGY, DR SOETOMO TEACHING HOSPITAL, SURABAYA
ABSTRACT: To identify the
feature of patient's funduscopies, time between trauma to curing, treatment and
results of Traumatic Optic Neuropathy (TON) outpatients at the Division of
Neuro-ophthalmology, Dr. Soetomo Hospital, Surabaya, Indonesia. Method: Data of
outpatients with TON from January 2002 to October 2004 were collected and classified
into several categories; age, time between trauma, curing, feature of funduscopy, treatment and result. Results:
There were 44 patients, 10 female and 34 male. The age range was between 15 -
80 years old, and most of them 18 patients or 40.9% of all, was between 10 and
19 years old. They commonly came after fourth week post trauma (19 patients =
43.2%), only one patient (2.72%) came at second day post trauma with various
Visual Acuity (VA) between no light perception and 6/10. The features of
funduscopy: optic nerve head atrophy in 25 patients (56.82%), normal fundus, 16
patients (34.1%), vitreous bleeding, 2 patients (4.54%), papiledema only one
patient (2.27%). Patients were treated with methylprednisolone in various
dosages (16 - 100 mg). Neurotropic, NSAID and antioxydant were added, depending
on their clinical manifestation. Twelve patients (27.27%) had increased VA, 3
patients (6.82%) decreased VA, 9 patients (20.45%) showed no change in VA and
the others could not be evaluated because they did not come for follow up. Conclusio n : Accurate diagnoses and therapy
affect the results of therapy. High dose
steroid systemic and optic canal decompression (if necessary) should be given
in 48 hours after trauma.
Author: Siti Moesbadiany
Yogiantoro
Journal Code: jpkedokterangg050024
