Contemporary diagnosis and approaches toward optic nerve decompression

Indirect traumatic blindness is often associated with closed head injuries and specifically with blows to the cheekbone and the forehead area above the eyebrow. Mainstay therapy includes corticosteroids with surgery reserved for persistant blindness and when appropriate instruments and experienced surgeons are available. Advanced endoscopic techniques offer trans-sphenoid access to the optic canal and can assist in the management of traumatic blindness in selected cases while minimizing patient morbidity.