Traumatic optic neuropathy (TON) is indeed a rare cause of vision loss that can be caused by head or
periorbital injury. Unfortunately, TON's consequences can be severe, especially when both optic nerves
are affected. Interestingly, about 20% of cases occur during childhood, even though most patients are
young adult males. The diagnosis of TON is typically easy to make based on clinical history and
examination findings that suggest optic neuropathy. TON management is controversial in medicine.
Some prefer monitoring; others use steroids, surgery, or both. Patients managed conservatively have
high spontaneous recovery rates, so the intervention's adverse effects must be carefully weighed. After
conducting a thorough database search on traumatic optic neuropathy (TON), articles written in
English with abstracts and full text were selected. Good visual acuity is the most important predictor of
recovery in TON patients