Optic Nerve Decompression Surgery Improves Visual Function in Patients with Pseudotumor Cerebri

Neurosurgery ◽  
1992 ◽  
Vol 30 (3) ◽  
pp. 391???395 ◽  
Author(s):  
Shalom E. Kelman ◽  
Rebecca Heaps ◽  
Aizik Wolf ◽  
Michael J. Elman
2013 ◽  
Vol 123 (5) ◽  
pp. 1082-1086 ◽  
Author(s):  
Thorsten Ropposch ◽  
Bernhard Steger ◽  
Cem Meço ◽  
Martin Emesz ◽  
Herbert Reitsamer ◽  
...  

2018 ◽  
Vol 79 (S 02) ◽  
pp. S231-S232
Author(s):  
Soichi Oya ◽  
Toru Matsui

AbstractImprovement in vision is one of the main goals of surgery for anterior clinoidal meningiomas with visual deficits. Early optic nerve decompression surgery has been advocated in previous studies to achieve the best visual outcome. Through this video, the authors describe their surgical techniques to decompress the optic nerve at the very early stage of surgery. A 35-year-old patient presented with subjective blurry vision in the right eye over the last 8 months. Magnetic resonance images showed a 3.2-cm meningioma arising at the right anterior clinoid. Preoperative ophthalmological test was within the normal range, but the patient wished to have surgical resection after a detailed discussion of benefits and risks related to surgical resection. The surgical strategy consisted of the right lateral subfrontal approach that includes a standard right frontotemporal craniotomy, extradural anterior clinoidectomy, and early optic nerve decompression prior to tumor resection. The tumor was divided into compartments defined by the arteries and resected. Simpson grade II resection was achieved without complications. The patient's symptoms disappeared. In anterior clinoidal meningiomas that cause visual deficits, the optic nerve is assumed very vulnerable to any further injuries related to the operative maneuver. Ultra-early optic nerve decompression can be performed in anterior clinoidal meningiomas regardless of their size by extradural unroofing of the optic canal and sectioning of the optic canal sheath, which we believe contributes to better visual improvement.The link to the video can be found at: https://youtu.be/RIFi4ecWAhQ.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Yu Liu ◽  
Yanchun Zhao ◽  
Xia Gong ◽  
Ying Zhang

Traumatic vision is an important factor that causes people to have a vision. In our country, the vast majority of vision is caused by trauma. To understand the role of optic nerve decompression in the treatment of traumatic visual disturbances based on the pathological states of traumatic visual disturbances and intelligent Internet of tumors medical nasal endoscopy optic nerve decompression. This article collects relevant information by investigating patients, investigating relevant literature, interviewing professionals, etc., constructing a case template and using a comprehensive quantitative and qualitative analysis method to create a damage assessment matrix. The results of the study found that most traumatic vision disorders occur in the young and middle-aged stage, which is more than three times that of other age groups. The permanent blindness rate of patients reaches 8%, which is extremely harmful. Optic canal decompression surgery can play a great role in the treatment of patients. It can greatly reduce the patient’s neurological damage. The effect is about 30% higher than that of general treatment methods, and it can also play a certain role in the prognosis of rehabilitation. It can effectively prevent related postoperative complications. This shows that optic canal decompression in the treatment of traumatic vision disorders should attract people’s attention and increase research and development efforts and promotion efforts so that optic canal decompression can be used in the diagnosis and treatment of patients with traumatic vision disorders based on smart Internet of things China can play a greater role.


Eye ◽  
2003 ◽  
Vol 17 (5) ◽  
pp. 571-578 ◽  
Author(s):  
T J Sleep ◽  
P R Hodgkins ◽  
S Honeybul ◽  
G Neil-Dwyer ◽  
D Lang ◽  
...  

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