UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 41 / No. 1 / Published : 2005-01

Order : 11, and page :60 - 64

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Original Article :

Traumatic optic neuropathy in the division of neuro-ophthalmology, department of ophthalmology, dr soetomo teaching hospital, surabaya

Author :

  1. Siti Moesbadiany Yogiantoro*1
  1. Department of Ophthalmology Airlangga University School of Medicine Dr Soetomo Teaching Hospital, Surabaya

Abstract :

Objective: 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. Methods: 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. Conclusion: 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.

Keyword :

ocular injury, optic neuropathy,


References :

Cook MW et al,(2003) Traumatic Optic Neuropathy. In: Danny M, et al (eds). Neuro-Opthalmology, Basic and Clinical Science Course section 5. San Fransisco : American Academy of Ophthalmology

James FA, Michael DS,(1997) Traumatic Optic Neuropathy. In: James FA, Michael DS (eds). Common Problems in Neuroophthalmology London : WB Saunders Company





Archive Article

Cover Media Content

Volume : 41 / No. : 1 / Pub. : 2005-01
  1. Editorial Vol 41 No 1 2005
  2. Opinion: Research In The Development Of Medical Science And Technology
  3. The Association Of Mitochondrial Dna Mutation G3316a And T3394c With Diabetes Mellitus
  4. The Effects Of Unilateral Testicular Torsion Upon Immunity Modulation And Apoptosis Of Germinal Cells In The Contralateral Testis. An Experimental Study In Rats
  5. The Effect Of 5α Reductase Inhibitor And Estrogen In Prostate Proliferation. An Experimental Study In Rats
  6. Quality Of Refilled Drinking Water In Surabaya City
  7. Adequate Help For Patients With Cervical Cancer? The Referral System In Indonesia. A Descriptive Comparison Study In Four Provinces
  8. In Vitro Drug Sensitivity Of Trypanosoma Evansi Bangkalan Isolates
  9. Comparison Of Dead Victims Due To Burn Between Periods
  10. Serum Osmolal Gap In Healthy Persons. Comparison Of Eleven Formulas For Calculating Osmolality
  11. Traumatic Optic Neuropathy In The Division Of Neuro-ophthalmology, Department Of Ophthalmology, Dr Soetomo Teaching Hospital, Surabaya
  12. The Potential Role Of α-lipoic Acid In The Management Of Diabetes Mellitus. Possible Molecular Mechanism
  13. Review Article And Clinical Experience: Metabolic Syndrome Vs Insulin Resistance Syndrome (a Cluster Of Components And Strategies For Treatment)