Objective: To explore the importance and result of surgical treatment in traumatic optic neuropathy (TON).
Methods: The results of optic canal and orbital apex decompression by the endonasal endoscopic approach were analyzed in 52 cases (53 eyes), follow up 6 months to 3 years.
Results: Twenty one eyes (39.6%) consisting of 14 eyes without effect by corticosteroids treatment(14/37, 37.8%) and 7 eyes with single surgery(7/16, 43.8%) showed improved vision after surgery. 18 eyes with no light perception (18/49, 36.7%) and 3 eyes with poor sight (3/4, 75.0%) had improved vision after surgery.
Conclusion: The surgical treatment is important for elevating curative effect of TON.