Evaluation of a Child With Optic Atrophy

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.