International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
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Abstract
Indirect traumatic optic neuropathy (ITON) is a serious complication of blunt trauma, often leading to visual impairment or blindness. It is commonly associated with road traffic accidents, especially involving two‐wheelers, in regions like India. Diagnosis includes the presence of a relative afferent pupillary defect (RAPD) with a normal fundus. Aim of the study was to assess the clinical and demographic characteristics of ITON patients in a tertiary care setting, focusing on etiology, associated injuries, and clinical outcomes. This prospective study included 50 patients diagnosed with ITON following trauma. Data on age, gender, cause of trauma, injury laterality, duration of unconsciousness, associated injuries, RAPD and fundus findings were analyzed. The majority of patients (78%) were aged 20‐40 years (mean age 35) and 96% were male. Two‐wheeler accidents were the predominant cause (76%). Right eye involvement was more common (60%) with no bilateral cases. Loss of consciousness was observed in 50% of patients and associated injuries included facial bone fractures (40%) and head injuries (24%). All patients exhibited RAPD and fundus examination was normal in all cases. ITON primarily affects young males involved in two‐wheeler accidents. RAPD with a normal fundus is a consistent finding. More research is needed to guide optimal management and improve outcomes.
How to cite this article:
Vijay Prakash Kinikar, S. Ashwani Siddardha, A. Venkata Pitchi Reddy and B. Sushma. Clinical and Demographic Profile of Indirect Traumatic Optic Neuropathy: A Prospective Observational Study.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.4.50.54
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.4.50.54