The Outcome of Endoscopic Optic Nerve Decompression for Bilateral Traumatic Optic Neuropathy
| Autor: | Hailing Yu, Jianbao Ju, Daoyu Xie, Li Zhang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures medicine.drug_class Visual Acuity Computed tomography 03 medical and health sciences 0302 clinical medicine medicine Humans Surgical treatment Contraindication Retrospective Studies medicine.diagnostic_test business.industry Traumatic optic neuropathy Endoscopy General Medicine Light perception Middle Aged Decompression Surgical eye diseases Surgery Treatment Outcome Otorhinolaryngology Optic Nerve Injuries 030221 ophthalmology & optometry Corticosteroid Evoked Potentials Visual Female medicine.symptom business Tomography X-Ray Computed Optic nerve decompression 030217 neurology & neurosurgery |
| Zdroj: | The Journal of craniofacial surgery. 28(4) |
| ISSN: | 1536-3732 |
| Popis: | OBJECTIVE To investigate the outcomes of endoscopic optic nerve decompression (EOND) for bilateral traumatic optic neuropathy (TON). METHODS A retrospective analysis was conducted in 5 patients with bilateral TON, between January 2003 and December 2013. All the patients underwent preoperative ophthalmological evaluation, flash visual-evoked potentials, computed tomography scan, and systemic corticosteroid therapy. All the patients required an EOND surgery, due to poor response to medical therapy, and the remainder one was only treated with corticosteroid due to operative contraindication. RESULTS Of the 5 patients (10 eyes) undergoing EOND, visual acuity improved in 30% of eyes (n = 3) with a mean follow-up of 3 months. The remainder 7 eyes still had no light perception. All of the 5 patients undergoing EOND had no operative complications. CONCLUSION Treatment for bilateral TON should not be limited on the length of time to injury and visual-evoked potentials results. If surgical conditions permit and with no contraindications, patients should receive active surgical treatment as soon as possible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|