Early diagnosis and prognosis of traumatic optic neuropathy

Section: Articles Published Date: 2025-01-27 Pages: 57-61 Views: 0 Downloads: 0

Authors

  • Bilalov E.N. DSc, Professor, Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
  • Bahritdinova F.A. DSc, Professor, Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
  • Narzikulova K.I. DSc, Associate Professor, Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
  • Nazirova S.H. PhD, Associate Professor, Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
  • Egamberdieva S.M. Assistant of Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
  • Oralov B.A. PhD, Assistant of Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
  • Pirnazarov M.Y. Assistant of Ophthalmology Department, Tashkent Medical Academy, Uzbekistan
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Abstract

Traumatic optic neuropathy (TON) caused by blunt eye injuries represents a significant clinical challenge, frequently leading to irreversible vision loss. Early diagnosis and monitoring of retinal and optic nerve changes are crucial for improving patient outcomes. Optical coherence tomography (OCT) offers unparalleled capabilities in detecting and quantitatively assessing such changes.

Objective. To evaluate the diagnostic potential of OCT in identifying morphological and functional changes in the retina and optic nerve among patients with TON. 

Materials and Methods. A total of 40 patients with blunt eye trauma were examined. The diagnostic protocol included OCT, computer perimetry, visual acuity testing, and ophthalmoscopy. Parameters of the RNFL, GCIPL, macula, and optic nerve head were analyzed. 

Results. Patients with TON demonstrated significant RNFL thickening in the early stages of trauma, optic nerve head swelling, and GCIPL thinning, which correlated with impaired visual function. OCT proved to be highly effective for early diagnosis and monitoring of these changes. 

Conclusion. OCT is a pivotal tool for assessing retinal and optic nerve damage in TON, enabling improved diagnostics, prognostication, and patient management.

Keywords

Traumatic optic neuropathy, blunt eye trauma, optical coherence tomography