A Ray of Hope in Darkness: A Case Report on the Rehabilitation of a Patient With Sudden Visual Impairment Due to Traumatic Optic Neuropathy

Traumatic optic neuropathy (TON) refers to optic nerve damage resulting from trauma to the eye or head. Loss of visual functions is the hallmark of all optic neuropathies. Due to the sudden loss of vision, even after treatment, patients feel physically and psychologically disturbed. Hence, they are referred to low vision care practitioners for appropriate care and counselling services. The patient undergoes a series of examinations to assess their current condition and specific needs. Based on the findings, the patient was advised on low vision devices (LVDs) and rehabilitation services to help them utilize their residual vision. A 35-year-old man diagnosed with TON reported to a low vision clinic with visual acuity of no perception of light in the right eye and 6/60p, N12 @ 20cm in the left eye for assistive devices and further rehabilitation. A near vision trail was given with +10.00D half-eye spectacles, a 7x illuminated stand magnifier, and Niki closed-circuit television (CCTV). There was an improvement in N6 vision for near with Niki CCTV. Following this, the patient was referred to the rehabilitation training center, where he received counselling and tailored training based on his needs, including orientation and mobility, mobile and assistive technology usage, independent living skills, and job rehabilitation. These methods enhance the patient's ability to navigate daily life more independently, helping him regain confidence and functionality. With proper rehabilitation and LVDs, TON patients can lead an independent and confident life.