[Surgical decompression of the optic nerve in intracanal injuries. Indications and results].
Fifteen patients with traumatic optic neuropathy (anatomical section excluded) underwent surgical anterior decompression of the optic nerve, via the trans ethmoid-sphenoid approach. Improvement of visual function assessed by visual acuity and visual field measurements, was obtained in 10 patients. Results remained stable for a follow-up period of at least 6 months. There was a delay of several weeks before improvement in some of the patients. Thus a long follow-up period seems recommended. Trans ethmoid-sphenoid optic nerve decompression is a reliable procedure with low morbidity, and represents a promising therapy for indirect injuries of the optic nerve.
Girard
B
B
Service d'Ophtalmologie, Hôpital Robert Ballanger, Aulnay-sous-Bois.
Lamas
G
G
Bouzas
E
E
Topouzis
F
F
Soudant
J
J
D000293:Adolescent; D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009900:Optic Nerve / Q000601:surgery*; D020221:Optic Nerve Injuries; D013997:Time Factors; D014794:Visual Fields
Décompression chirurgicale du nerf optique lors des traumatismes intracanalaires. Indications et résultats.