title: Traumatic optic neuropathy complicating facial fracture repair.
abstract: Blindness can result from traumatic optic neuropathy following facial trauma and can complicate the management of concomitant facial fractures. Traumatic optic neuropathy can cause a substantial delay in the repair of facial fractures, leading to compromised surgical results. It can also result in postoperative visual loss following facial fracture repair. We present four cases of traumatic optic neuropathy that compromised the treatment of facial fractures. The management of facial fractures in patients with traumatic optic neuropathy must proceed cautiously. Delayed primary repair of midface fractures by postponing surgery for 10 to 14 days may be of benefit in avoiding further deterioration of vision. In addition, megadose corticosteroids and/or optic nerve decompression is useful in the management of these patients.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, USA.
authors.forename: K K
authors.initials: KK
authors.lastname: Li
authors.forename: T N
authors.initials: TN
authors.lastname: Teknos
authors.forename: A
authors.initials: A
authors.lastname: Lauretano
authors.forename: M P
authors.initials: MP
authors.lastname: Joseph
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001766:Blindness / Q000209:etiology; D004630:Emergencies; D005147:Facial Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D009900:Optic Nerve / Q000601:surgery; D020221:Optic Nerve Injuries; D012887:Skull Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000305:Adrenal Cortex Hormones