Traumatic optic neuropathy: the many presentations and treatment options

In this edition of Neuro-ophthalmology, Vaitheeswaran et al.1 describe the management of a case of traumatic optic neuropathy (TON) associated with central retinal artery occlusion (CRAO). The authors performed an optic canal decompression via a trans-orbital approach and then administered thrombolytic agents directly to the ophthalmic artery. CRAO associated with TON is rare and only a handful of case reports describe the two conditions occurring together, usually in the context of severe blunt eye trauma.2,3 Therefore, the use of thrombolytic agents is only relevant to a very few cases of TON.