Citation

Jacobs SM, Van Stavern GP. Curr. Neurol. Neurosci. Rep. 2013; 13(11): 389.

Affiliation

Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, 660 South Euclid Ave, Campus Box 8096, St. Louis, MO, 63110, USA.

Copyright

(Copyright © 2013, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s11910-013-0389-5

PMID

24027004

Abstract

Head trauma can injure the afferent and/or efferent visual systems, resulting in neuro-ophthalmic deficits. When assessing afferent pathway injuries, a stepwise approach to evaluating visual acuity, pupils, color perception, and visual fields is critical. Traumatic optic neuropathy is of especial importance and its management must be tailored on a case-by-case basis. Efferent pathway injuries should be assessed with attention to abnormalities of ocular alignment and motility, which may occur as isolated deficits or as part of a recognizable syndrome. Concussion or diffuse axonal injuries may also affect ophthalmologic function. Here, we review the extant literature describing the assessment and acute treatment of traumatic neuro-ophthalmic deficits.

Language: en