A case of injury to right brow due to a fall from scooter presents with sudden loss of vision in the right eye. The pupil shows absent direct reflex but a normal consensual pupillary reflex is present. The fundus is normal. The treatment or choice is:
A i.e. Intensive intravenous coicosteroids as prescribed for spinal injuries to be instituted within six hours A i.e. Intensive intravenous coicosteroids as prescribed for spinal injuries to be instituted within six hours The first line of management of traumatic optic neuropathy is mega dose IV methyl prednisolone with in 8 hours followed by orbital canal decompression. (if visual function deteriorates or does not improve) Q
Intensive intravenous coicosteroids as prescribed for spinal injuries to be instituted within six hours
Pulse methyl Prednisolone 250 mg four times daily for three days
Oral Prednisolone 1.5 mg/kg body weight
Emergency optic canal decompression