Optic atrophy is an optic neuropathy that results from permanent damage to the axons and retinal ganglion cells of the optic nerve, causing irreversible vision loss. Optic atrophy is a major cause of vision loss in children worldwide and has many etiologies. Herein, we gather and explain the common etiologies of pediatric optic atrophy and provide insights on history-taking, examination, workup, and clinical decision-making for the general ophthalmologist. We highlight the importance of a comprehensive approach to evaluation and coordination of care for vision services in children with irreversible vision loss.
Koester et al. (Mon,) studied this question.