Erschienen in:
01.11.2013 | Neuro-Ophthalmology (A Kawasaki, Section Editor)
Neuro-Ophthalmic Deficits after Head Trauma
verfasst von:
Sarah M. Jacobs, Gregory P. Van Stavern
Erschienen in:
Current Neurology and Neuroscience Reports
|
Ausgabe 11/2013
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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.