Reversal of isolated unilateral optic nerve edema with concomitant visual impairment following blunt trauma: a case report.
BACKGROUND
Serious injury to the optic nerve is an uncommon entity but may result in permanent visual disability. Isolated trauma of the optic nerve is usually associated with blunt skull trauma involving fractures of both skull and optic canal, but may also occur from blunt ocular trauma.


METHODS
We report a woman who developed isolated unilateral optic nerve edema with corresponding visual deficits after a rear-end collision accident. She was treated with corticosteroids and had a favourable outcome.


CONCLUSIONS
The approach described here was successful in this case but the current body of evidence still lacks a validated approach to the management of traumatic optic neuropathy and each case needs to be individually assessed.
Maegele
Marc
M
Department of Trauma and Orthopedic Surgery, Intensive Care Unit (ICU), University of Witten/Herdecke, Cologne-Merheim Medical Center (CMMC), Ostmerheimerstr, Cologne, Germany. Marc.Maegele@t-online.de