Acute Bilateral Vision Loss Following Unilateral Optic Nerve Sheath Fenestration

Autor: Nicholas, Levergood, Ji Kwan, Park, Benjamin, Campbell, Hui Bae Harold, Lee
Rok vydání: 2022
Předmět:
Zdroj: Ophthalmic Plastic & Reconstructive Surgery. 38:e165-e166
ISSN: 0740-9303
DOI: 10.1097/iop.0000000000002217
Popis: Optic nerve sheath fenestration (ONSF) is a surgical technique commonly and effectively employed in the treatment of recalcitrant, vision-threatening papilledema. Unilateral blindness, a known risk of unilateral ONSF widely cited with 1%-2% incidence. In this case, a 58-year-old patient who presented symptomatic with bilateral hemorrhagic papilledema unresponsive to medical therapy underwent uneventful unilateral ONSF via standard superomedial eyelid crease incision. The patient presented postoperatively with severe bilateral vision loss. Workup revealed widespread metastatic malignant disease involving the optic chiasm and optic nerve sheath.
Databáze: OpenAIRE