Medical MCQ - A case of injury to right brow due to a fall from scooter present 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 of choice is-

A case of injury to right brow due to a fall from scooter present 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 of choice is-

Intensive intravenous corticosteroids 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

Question Category:

Correct Answer:

Intensive intravenous corticosteroids as prescribed for spinal injuries to be instituted within six hours

Description:

Sudden loss of vision, absent Ipsilateral direct light reflex and normal ipsilateral consensual light reflex suggest the diagnosis of optic nerve injury. Within 8 hours of injury megadose of iv steroid (methylprednisolone) should be given. If there is no response or deterioration, optic canal decompression should be done. If vision is improving, steroids should be tapered gradually. If on tapering steroids, vision deteriorates, optic canal decompression is indicated.

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