Individual card of patient № full name

INDIVIDUAL CARD OF PATIENT № _____

FULL NAME ___________________________________________

№. CASE REPORT _______________
Age ________________
Gender woman man
Diagnosis: Direct / Indirect Traumatic optic neuropathy 1^st/ 2^nd / 3^rd degree with/ no orbital fracture.

Control group	Main group

Group

Criterion	15^th day	1^st month	6^th month
Visual acuity (unit)
Degree subretinal fluid (by OCT)
Quality of life index
Timing of relief of symptoms
Timing of relief edema and hemorrhage
The timing of arresting eye movement
Signs of enophthalmos

Standart treatment + endonasal electrophoresis

Treatment tactics

Only standard theraphy

Master's student Yuldashov S.A.