Indirect traumatic optic neuropathy - Two case report

The aim of the study was to evaluate the treatment of indirect traumatic op tic neuropathy (ITON). ITON is defined as traumatic loss of vision that occ urs without external or initial ophthalmoscopic evidence of injury to the e ye or its nerve. The optimal management of ITON remains controversial. Hist ory, clinical findings and treatment of two cases of ITON with high-dose co rticosteroids are described. Improvement of visual acuity after treatment w ith high-dose corticosteroids was achieved in both cases, The treatment is evaluated in comparison to endorsed treatment modalities found in literatur e. We concluded that was clinically reasonable to decide to treat or not to treat the indirect optic neuropathy on an individual patient basis.