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Related Experiment Videos

Visual improvement after transethmoid-sphenoid decompression in optic nerve injuries.

B C Girard1, E A Bouzas, G Lamas

  • 1Ophthalmology Service, Hopital Pitié-Salpetrière, Paris, France.

Journal of Clinical Neuro-Ophthalmology
|September 1, 1992
PubMed
Summary

Transethmoid-sphenoid decompression surgery for traumatic optic nerve injury showed significant visual improvement in most patients. This minimally invasive procedure offers hope for vision recovery, even with delayed treatment.

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Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Trauma Surgery

Background:

  • Traumatic optic neuropathy (TON) is a severe complication of head trauma.
  • Treatment options for TON remain controversial, impacting visual outcomes.
  • Indirect optic nerve injury often results from orbital or head trauma.

Purpose of the Study:

  • To evaluate the efficacy of transethmoid-sphenoid decompression for indirect optic nerve injury.
  • To assess visual outcomes and morbidity associated with the surgical procedure.
  • To provide evidence supporting surgical intervention in managing TON.

Main Methods:

  • Eleven patients with indirect optic nerve injury underwent transethmoid-sphenoid decompression.
  • The surgical approach involved a minimally invasive transethmoid-sphenoid technique.

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  • Visual function and surgical complications were monitored post-operatively.
  • Main Results:

    • Eight out of eleven patients experienced visual improvement.
    • Four patients with initial total blindness regained some vision.
    • Significant optic neuropathy improvement was observed, even with delays up to 92 days post-trauma.

    Conclusions:

    • Transethmoid-sphenoid decompression is a viable surgical option for traumatic optic neuropathy.
    • The procedure demonstrates satisfactory results with low morbidity.
    • Surgical intervention may be beneficial for vision recovery in TON patients.