Efficacy of endoscopic optic nerve decompression in optic nerve injury
REN Chenglong1,WANG Xiaolu2, SHAN Xizheng2
1.Department of Otolaryngology, Aviation General Hospital, Beijing 100021, China; 2.Department of Otolaryngology, Head and Neck Surgery,General Hospital of Chinese People’s Armed Police Forces, Beijing 100039,China
Abstract：Objective To investigate the clinical therapeutic efficacy of endoscopic optic nerve decompression in optic nerve injury. Methods Clinical data of 28 patients (28 eyes) diagnosed as having optic nerve injury in Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of People’s Armed Police Forces from August 2013 to April 2014 were analyzed retrospectively. All the patients were treated by endonasal optic nerve decompression.The clinical therapeutic efficacy and the postoperative visual acuity of these patients were obsereved and analyzed. Results Clinical symptoms improved in fifteen of the patients after the operation. Of 24 patients who had no light perception,12 cases (12 eyes) got better after operation.Three patients (3 eye) with poor vision before operation had improved vision after operation. Conclusions The endoscopic optic nerve decompression is effective in improving the visual acuity in optic nerve injury patients.
Li J, Wang J, Jing X, et al. Transsphenoidal optic nerve decompression: an endoscopic anatomic study[J]. J Craniofac Surg, 2008, 19(6): 1670-1674.
[1]
Li J, Wang J, Jing X, et al. Transsphenoidal optic nerve decompression: an endoscopic anatomic study[J]. J Craniofac Surg, 2008, 19(6): 1670-1674.
[2]
Kennedy D W, Goodstein M L, Miller N R, et al. Endoscopic transnasal orbital decompression[J]. Arch Otolaryngol Head Neck Surg, 1990, 116(3): 275-282.
[2]
Kennedy D W, Goodstein M L, Miller N R, et al. Endoscopic transnasal orbital decompression[J]. Arch Otolaryngol Head Neck Surg, 1990, 116(3): 275-282.
[3]
Michel O, Bresgen K, Russmann W, et al. Endoscopically-controlled endonasal orbital decompression in malignant exophthalmos[J]. Laryngorhinootologie, 1991, 70(12): 656-662.
[3]
Michel O, Bresgen K, Russmann W, et al. Endoscopically-controlled endonasal orbital decompression in malignant exophthalmos[J]. Laryngorhinootologie, 1991, 70(12): 656-662.
[4]
Luxenberger W, Stammberger H, Jebeles J A, et al. Endoscopic optic nerve decompression: the graz experience[J]. Laryngoscope, 1998, 108(6): 873-882.
[4]
Luxenberger W, Stammberger H, Jebeles J A, et al. Endoscopic optic nerve decompression: the graz experience[J]. Laryngoscope, 1998, 108(6): 873-882.
[5]
Kountakis S E, Maillard A A, El-Harazi S M, et al. Endoscopic optic nerve decompression for traumatic blindness[J]. Otolaryngol Head Neck Surg, 2000, 123(1 Pt 1): 34-37.
[5]
Kountakis S E, Maillard A A, El-Harazi S M, et al. Endoscopic optic nerve decompression for traumatic blindness[J]. Otolaryngol Head Neck Surg, 2000, 123(1 Pt 1): 34-37.
[6]
Yip C C, Chng N W, Au E K, et al. Low-dose intravenous methylprednisolone or conservative treatment in the management of traumatic optic neuropathy[J]. Eur J Ophthalmol, 2002, 12(4): 309-314.
[7]
Lew H, Lee S Y, Jang J W, et al. The effects of high-dose corticosteroid therapy on optic nerve head blood flow in experimental traumatic optic neuropathy[J]. Ophthalmic Res, 1999, 31(6): 463-470.
[6]
Yip C C, Chng N W, Au E K, et al. Low-dose intravenous methylprednisolone or conservative treatment in the management of traumatic optic neuropathy[J]. Eur J Ophthalmol, 2002, 12(4): 309-314.
[7]
Lew H, Lee S Y, Jang J W, et al. The effects of high-dose corticosteroid therapy on optic nerve head blood flow in experimental traumatic optic neuropathy[J]. Ophthalmic Res, 1999, 31(6): 463-470.
[8]
Li H, Zhou B, Shi J, et al. Treatment of traumatic optic neuropathy: our experience of endoscopic optic nerve decompression[J]. J Laryngol Otol, 2008, 122(12): 1325-1329.
[8]
Li H, Zhou B, Shi J, et al. Treatment of traumatic optic neuropathy: our experience of endoscopic optic nerve decompression[J]. J Laryngol Otol, 2008, 122(12): 1325-1329.
[9]
Peng A, Li Y, Hu P, et al. Endoscopic optic nerve decompression for traumatic optic neuropathy in children[J]. Int J Pediatr Otorhinolaryngol, 2011, 75(8): 992-998.
[10]
Levin L A, Beck R W, Joseph M P, et al. The treatment of traumatic optic neuropathy: the International Optic Nerve Trauma Study[J]. Ophthalmology, 1999, 106(7): 1268-1277.
[9]
Peng A, Li Y, Hu P, et al. Endoscopic optic nerve decompression for traumatic optic neuropathy in children[J]. Int J Pediatr Otorhinolaryngol, 2011, 75(8): 992-998.
[11]
Roberts I, Yates D, Sandercock P, et al. Effect of intravenous corticosteroids on death within 14 days in 10008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial[J]. Lancet, 2004, 364(9442): 1321-1328.
[10]
Levin L A, Beck R W, Joseph M P, et al. The treatment of traumatic optic neuropathy: the International Optic Nerve Trauma Study[J]. Ophthalmology, 1999, 106(7): 1268-1277.
[11]
Roberts I, Yates D, Sandercock P, et al. Effect of intravenous corticosteroids on death within 14 days in 10008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial[J]. Lancet, 2004, 364(9442): 1321-1328.
[12]
Fujitani T, Inoue K, Takahashi T, et al. Indirect traumatic optic neuropathy--visual outcome of operative and nonoperative cases[J]. Jpn J Ophthalmol, 1986, 30(1): 125-134.
[12]
Fujitani T, Inoue K, Takahashi T, et al. Indirect traumatic optic neuropathy--visual outcome of operative and nonoperative cases[J]. Jpn J Ophthalmol, 1986, 30(1): 125-134.
[13]
Yu W M P, Griffiths P G. Steroids for traumatic optic neuropathy[J]. Cochrane Database Syst Rev, 2007(4): D6032.
[13]
Yu W M P, Griffiths P G. Steroids for traumatic optic neuropathy[J]. Cochrane Database Syst Rev, 2007(4): D6032.
[14]
Yu W M P, Griffiths P G. Surgery for traumatic optic neuropathy[J]. Cochrane Database Syst Rev, 2005(4): D5024.
[14]
Yu W M P, Griffiths P G. Surgery for traumatic optic neuropathy[J]. Cochrane Database Syst Rev, 2005(4): D5024.
[15]
Yu W M P, Griffiths P G. Steroids for traumatic optic neuropathy[J]. Cochrane Database Syst Rev, 2011(1): D6032.
[15]
Yu W M P, Griffiths P G. Steroids for traumatic optic neuropathy[J]. Cochrane Database Syst Rev, 2011(1): D6032.
[16]
Osguthorpe J D, Sofferman R A. Optic nerve decompression[J]. Otolaryngol Clin North Am, 1988,21(1):155-169.
[16]
Osguthorpe J D, Sofferman R A. Optic nerve decompression[J]. Otolaryngol Clin North Am, 1988,21(1):155-169.
2015, Vol. 26 
