AbstractPurpose: In our prospective nationwide surveillance study of traumatic optic neuropathy (TON) in the United Kingdom, the prevalence of orbital fractures was found to be 39% (47/121). The prevalence of skull fractures was 7.4% (9/121). This study aims to identify the association of craniofacial-orbital fractures with the severity of visual loss.Methods: TON patients who sustained orbital fractures were identified prospectively by population-based active surveillance through the British Op...
c2014 The Korean Ophthalmological Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 대한안과학회지 2014년 제 55 권 제 4 호 J Korean Ophthalmol Soc 2014;55(4):596-601 pISSN: 0378-6471⋅eISSN: 2092-9374 http://dx.doi.org/10.3341/jkos.2014.55.4.596 Ori...
Objectives/Hypothesis Traumatic optic neuropathy (TON) is an important cause of severe visual impairment following blunt or penetrating head trauma. Treatment options include steroids, decompression, or both. Studies have failed to show a clear benefit for either steroids or surgery or a combined therapy. This study describes the visual outcome in surgically managed patients with or without steroid treatment. Study Design Retrospective analysis. Methods In a retrospective chart review we include...
Last. Goh Kong Yong(TTSH: Tan Tock Seng Hospital)H-Index: 1
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Ocular trauma is a topic of unresolved controversies and there are continuous controversial and debatable management strategies for open-globe injuries (OGIs). International classification of ocular trauma proposed almost 15 years ago needs to be reviewed and to be more robust in predicting the outcome in the setting of OGIs. Anterior segment trauma involves controversies related to patching for corneal abrasion, corneal laceration repair, and medical management of hyphema. Timing of cataract su...
BACKGROUND: There has been a paucity of information on the epidemiology of traumatic optic neuropathy (TON). This study documents epidemiology of TON over 2 decades in the largest level I adult trauma center in Canada. METHODS: Data on all the trauma patients admitted to Sunnybrook Health Sciences Centre from 1986 to 2007 were collected in a prospective database. The aggregate data on optic nerve injuries including demographic data, etiology, Injury Severity Score (ISS), and associated head and ...
Purpose of review Traumatic optic neuropathy is common clinical problem for neuro-ophthalmologists, without evidence-based guidelines regarding evaluation and therapy. Although no large natural history or randomized controlled trial has been published, corticosteroid therapy, surgical decompression or observation remains the mainstays of therapy. Recent findings Additional research is ongoing, concerning medications and therapies to enhance visual recovery following trauma; future treatments may...
#1Irwin B. Suchoff(SUNY: State University of New York System)H-Index: 7
#2Neera Kapoor(SUNY: State University of New York System)H-Index: 17
Last. Shoshana Craig(SUNY: State University of New York System)H-Index: 5
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Abstract Background The purpose of this retrospective study was to determine the frequency of occurrence of visual field defects in a sample of visually symptomatic, ambulatory outpatients who have acquired brain injury (ABI), either traumatic brain injury (TBI) or cerebral vascular accident (CVA). Methods The medical records of 220 individuals with TBI (n=160) or CVA (n=60) were reviewed retrospectively. This was determined by a computer-based query spanning the years 2000 through 2003. The ind...
MRC CRASH is a randomised controlled trial (ISRCTN74459797) of the effect of corticosteroids on death and disability after head injury. We randomly allocated 10,008 adults with head injury and a Glasgow Coma Scale score of 14 or less, within 8 h of injury, to a 48-h infusion of corticosteroid (methylprednisolone) or placebo. Data at 6 months were obtained for 9673 (96.7%) patients. The risk of death was higher in the corticosteroid group than in the placebo group (1248 [25.7%] vs 1075 [22.3%] de...
