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Updated: Jun 1, 2026
04:06
Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
Endoscopic optic nerve decompression for traumatic optic neuropathy in children.
Anquan Peng1, Youzhong Li, Peng Hu
1Department of Otorhinolaryngology - Head & Neck Surgery, The Second Xiangya Hospital of Central South University, Changsha 410011, China.
Summary
Nasal endoscopic surgery for pediatric traumatic optic neuropathy can improve vision, but outcomes depend on injury severity and prompt treatment. Early decompression is crucial for better prognosis in children.
Area of Science:
- Ophthalmology
- Neurosurgery
- Pediatric Medicine
Background:
- Traumatic optic neuropathy (TON) in children presents a significant challenge.
- Prompt surgical intervention is often considered for vision recovery.
Purpose of the Study:
- To evaluate the necessity and therapeutic effect of endoscopic optic nerve decompression for pediatric TON.
- To identify factors influencing visual outcomes after surgery.
Main Methods:
- Retrospective review of 41 children (43 eyes) with TON treated with endoscopic optic nerve decompression and postoperative corticosteroids.
- 6-month follow-up to assess visual acuity recovery and analyze therapeutic effects.
Main Results:
- Vision improved in varying degrees for 33 out of 41 patients.
- Significant visual recovery was observed in patients treated within 7 days post-trauma.
- 7 patients showed no improvement in vision post-surgery.
Conclusions:
- Endoscopic optic nerve decompression is a viable treatment for pediatric TON.
- Prognosis is significantly influenced by the severity of injury and the time to surgical intervention.
- Timely surgical intervention is critical for successful outcomes.
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