Abstract
A case of visual impairment following craniomaxillofacial trauma is reported. The patient had sudden visual loss associated with fracture of the left orbital floor and medial and lateral wall of the left orbit and comminuted fracture of the left optic canal. Access to the orbit was achieved through the endoscopic endonasal approach and the bone fragments, which had impinged on the optic nerve, were resected. The patient had a total return of visual acuity without surgical complications. The role of orbital and optic decompression in the management of patients with traumatic optic neuropathy is discussed. The indication of orbital and optic decompression in the management of patients with traumatic optic neuropathy is controversial and the procedure should be considered only within the context of the specific needs of the individual patient.