Neuro-Ophthalmic trauma

Laura Palazzolo, Daniel Wang, Valerie I. Elmalem

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


This chapter covers traumatic damage to the optic nerve, visual pathways, and oculomotor system. It reviews the relevant anatomy, clinical features, diagnostic workup, and management of traumatic optic neuropathy and acquired Horner syndrome with direct application to the pediatric patient population. The authors highlight the range of ophthalmic manifestations that may follow head trauma, including injury associated with skull base fractures, arterial or venous injury, and traumatic brain injury. Finally, the authors describe the oculomotor system and how to diagnose and manage traumatic injury of cranial nerve (CN) III, IV, or VI. The material will enable the clinician to recognize neuro-ophthalmic manifestations of eye and head trauma, promptly diagnose, and efficiently manage these patients in the acute setting.

Original languageEnglish
Title of host publicationPediatric Ophthalmology in the Emergency Room
Subtitle of host publicationEvaluation and Treatment
Number of pages22
ISBN (Electronic)9783030499501
ISBN (Print)9783030499495
StatePublished - 6 Oct 2020
Externally publishedYes


  • Acquired Horner syndrome
  • Epidural hematoma
  • Fourth nerve palsy
  • Sixth nerve palsy
  • Skull base fracture
  • Subarachnoid hemorrhage
  • Subdural hematoma
  • Third nerve palsy
  • Traumatic aneurysm
  • Traumatic brain injury
  • Traumatic optic neuropathy


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