Neuro-ophthalmic deficits after head trauma

Sarah M. Jacobs, Gregory P. Van Stavern

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Head trauma can injure the afferent and/or efferent visual systems, resulting in neuro-ophthalmic deficits. When assessing afferent pathway injuries, a stepwise approach to evaluating visual acuity, pupils, color perception, and visual fields is critical. Traumatic optic neuropathy is of especial importance and its management must be tailored on a case-by-case basis. Efferent pathway injuries should be assessed with attention to abnormalities of ocular alignment and motil-ity, which may occur as isolated deficits or as part of a recognizable syndrome. Concussion or diffuse axonal injuries may also affect ophthalmologic function. Here, we review the extant literature describing the assessment and acute treatment of traumatic neuro-ophthalmic deficits.

Original languageEnglish
Article number389
JournalCurrent neurology and neuroscience reports
Issue number11
StatePublished - Nov 2013


  • Cranial nerve palsy
  • Head trauma
  • Optic neuropathy
  • Visual pathway


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