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Updated: Jun 1, 2026
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.
Insights
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.
Objectives:
To discuss the necessity of nasal endoscopic surgery for pediatric traumatic optic neuropathy and its therapeutic effect.
Methods:
We retrospectively reviewed the cases of 41 children (involving 43 eyes) with traumatic optic neuropathies who were treated in our department by endoscopic optic nerve decompression and postoperative corticosteroid in large doses from Feb. 2000 to Apr. 2010. A 6-month follow-up study was performed for each patient in order to observe the postoperative eyesight recovery and analyze the therapeutic effect.
Results:
The eyesight of 11 patients out of 41 patients reached 0.2-0.3 postoperatively, the eyesight of 16 patients recovered from counting fingers to 0.1 after the surgery, the eyesight of 6 patients ranged from light sensation to seeing the hand movement, the eyesight of 7 children did not recover from the operation. The prognosis in the children who underwent the decompression 7 days post-traumatically was much worse than other children.
Conclusions:
The age of the patients was not the main element influencing the decision-making process for the operation. The main elements affecting the prognosis were the degree of injury and the time interval between the trauma and the time when patients underwent the surgery. The operation opportunity and plan are very important to a successful operation.
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