MD, PhD, MCTS, Department of Neurosurgery, University of Florida, Florida, USA
Research Article
Electrophysiological Analysis of Traumatic Optic Neuropathy and Traumatic Brain Injury Among Active Military
Author(s): Charles S Zwerling, Lea Carter and Brandon Lucke-Wold*
Background: Traumatic Optic Neuropathy (TON) can cause persistent visual deficits and is a known sequala of Traumatic Brain Injury (TBI). Little is known regarding appropriate diagnosis, management, and treatment.
Methods: we performed a prospective cohort study with 356 active military personnel using electrophysiological Visual Evoked Potential (VEP) testing for TON in the context of known or suspected TBI. This was done with the intent to review and revise management protocol for patients who are susceptible to TON. This new VEP protocol was incorporated with kinetic and static visual field testing to uncover occult cases of TON previously missed in the current disability examination, as well as aid in evaluation of patients with borderline concussive cases that do not meet current diagnosis of mild, moderate, or severe TBI by the Veteran’s Disability Exam.
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DOI:
DOI: 10.4172/2572 5130.22.7(6).1000201
