How I do it - endoscopic endonasal optic nerve decompression for traumatic optic nerve neuropathy

Area of Science:

• Neurosurgery
• Ophthalmology
• Endoscopic surgery

Background:

• Traumatic optic neuropathy (TON) is optic nerve damage from head injury, affecting 0.5-5% of patients.
• TON presents as sudden visual acuity decrease or visual field loss.
• Surgical intervention is often needed for optic canal compression.

Purpose of the Study:

• To detail the technical aspects of the endoscopic endonasal approach for compressive TON.
• To provide evidence supporting this minimally invasive surgical option.

Main Methods:

• Description of the endoscopic endonasal surgical technique for compressive TON.
• Review of cases undergoing this approach.

Main Results:

• Successful decompression of the optic canal via endoscopic endonasal approach.
• Demonstration of the technique's feasibility and effectiveness.

Conclusions:

• The endoscopic endonasal approach is a viable surgical option for compressive TON.
• This technique allows for precise decompression of the optic nerve in the optic canal.